Individual
MS. JERICA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-8035
Mailing address
1125 N CHURCH ST, GREENSBORO, NC 27401-1007
(336) 832-8035
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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