Individual provider · Type 1 NPI

Porshai Juanice Jackson

Prosthetist · Charlotte, NC

NPI number 1356990022 Active

Practice location

6341 Derryfield Dr
Charlotte, NC 28213-5532

Call (980) 230-8248 Map

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XNone listed

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1356990022

Porshai Juanice Jackson's National Provider Identifier is 1356990022, issued on Sep 5, 2019. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 5, 2019.