Individual
ELIZABETH C JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
1401 REVERDY OAKS DR, MATTHEWS, NC 28105-6841
(704) 807-7815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12121284
NC
Other
Enumeration date
10/27/2009
Last updated
05/29/2026
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