Individual
MS. JO JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
137 NORMA DRIVE, KINSTON, NC 28504
(252) 468-8453
Mailing address
137 NORMA DRIVE, KINSTON, NC 28504
(252) 468-8453
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/15/2015
Last updated
01/20/2015
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