Individual provider · Type 1 NPI

Kina Ladawn Jackson, AGNP

Nurse Practitioner · Salisbury, NC

NPI number 1649717232 Active

Practice location

1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177

Call (336) 718-7500 Map

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

1601 Brenner Ave, Salisbury, NC 28144-2515 · (704) 638-9000
4610 Country Club Rd, Winston Salem, NC 27104-3520 · (336) 716-2255
1400 Westgate Center Dr Ste 130, Winston Salem, NC 27103-3104 · (336) 718-7500

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	5009255 (NC)
Primary Care Nurse Practitioner	363LP2300X	208785 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

9 other providers at this address

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About NPI 1649717232

Kina Ladawn Jackson, AGNP's National Provider Identifier is 1649717232, issued on Jan 21, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salisbury, NC. The record was last updated on Nov 8, 2023.