Individual
JONATHON TROY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 YORKSHIRE ST STE 201, ASHEVILLE, NC 28803-7785
(828) 274-1600
(828) 274-1603
Mailing address
15 YORKSHIRE ST STE 201, ASHEVILLE, NC 28803-7785
(828) 274-1600
(828) 274-1603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-02028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366804163
—
NC
Enumeration date
03/22/2016
Last updated
04/07/2022
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