Individual
MS. KAREN F JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 DOCKSIDE DR, JACKSONVILLE, NC 28546-9768
(910) 355-7211
Mailing address
136 DOCKSIDE DR, JACKSONVILLE, NC 28546-9768
(910) 355-7211
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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