Individual
JOAN MARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1201 CAROLNA PLACE DR STE 101, FORT MILL, SC 29708-0015
(803) 547-4922
Mailing address
101 CABARRUS AVE E, CONCORD, NC 28025-3699
(888) 849-7379
(855) 857-7333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21635
SC
363LF0000X
Family Nurse Practitioner
5010445
NC
Other
Enumeration date
04/13/2018
Last updated
04/02/2026
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