Individual provider · Type 1 NPI
Jessica Lynn Jackson, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1700163771
Active
Practice location
9201 University City Blvd Student Health
Charlotte, NC 28223-0328
Fax (704) 687-1801
Mailing address
PO Box 601067
Charlotte, NC 28260-1067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5005386 (NC) |
| Nurse Practitioner | 363L00000X | 5005386 (NC) |
| Family Nurse Practitioner | 363LF0000X | 207353 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1700163771
Jessica Lynn Jackson, FNP's National Provider Identifier is 1700163771, issued on Nov 4, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Sep 19, 2024.