Individual provider · Type 1 NPI
Crystal Jackson
Speech-Language Assistant · Charlotte, NC
NPI number
1265081384
Active
Practice location
2426 Cairns Mill Ct
Charlotte, NC 28269-4083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 0545 (NC) |
Speech-Language Assistant: Definition to come...
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About NPI 1265081384
Crystal Jackson's National Provider Identifier is 1265081384, issued on Sep 11, 2019. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Charlotte, NC. The record was last updated on Sep 11, 2019.