Individual
KENDRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7585 NC-73, SALON LOFTS #13, DENVER, NC 28037
(704) 577-4135
Mailing address
7585 NC-73, SALON LOFTS #13, DENVER, NC 28037
(704) 577-4135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5012135
NC
Other
Enumeration date
06/02/2020
Last updated
02/23/2023
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