Individual
JENNAH-LI EULALIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6 PROFESSIONAL DR, SNOW HILL, NC 28580-1333
(252) 747-8162
(252) 747-8163
Mailing address
7 PROFESSIONAL DR, SNOW HILL, NC 28580-1332
(412) 485-1426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14370
NC
Other
Enumeration date
04/28/2025
Last updated
09/18/2025
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