Individual provider · Type 1 NPI

Gia Annalise Jackson

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1285521575 Active

Practice location

131 Miller St
Winston Salem, NC 27103-2508

Fax (336) 716-8018

Mailing address

Medical Center Boulevard
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285521575

Gia Annalise Jackson's National Provider Identifier is 1285521575, issued on Jun 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 26, 2026.