Organization
JACKSON MEDICAL ASSOCIATES, PLLC
Active
Organization
JACKSON MEDICAL ASSOCIATES, PLLC
Active
Other names
Jackson Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ANN EDWARDS (PRACTICE MANAGER)
(828) 450-7064
Entity
Organization
Contact information
Practice address
251 SHELTON ST, WAYNESVILLE, NC 28786-3362
(828) 456-8365
(855) 422-2581
Mailing address
228 BONNIE LN, SYLVA, NC 28779-8553
(828) 989-6668
(855) 422-2581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5003749
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000670
—
NC
Enumeration date
05/17/2018
Last updated
06/16/2018
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