Individual
JACKSON NOEL CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-2413
Mailing address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-2413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15842
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2023
Last updated
03/09/2026
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