Individual
MRS. JACQUELINE DAVIS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE TECH II
Contact information
Practice address
1224 E DIXIE DR UNIT E, ASHEBORO, NC 27203-8809
(336) 677-5652
Mailing address
PO BOX 36053, GREENSBORO, NC 27416-6053
(336) 340-3845
(336) 851-2557
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
86656
NC
374U00000X
Home Health Aide
86656
NC
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
86656
NC
Other
Enumeration date
05/07/2014
Last updated
01/25/2026
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