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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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