Individual
MRS. LEE ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
997 OLD US HWY 70, SUITE A, BLACK MOUNTAIN, NC 28711
(828) 669-9704
(828) 669-7413
Mailing address
997 OLD US HWY 70, SUITE A, BLACK MOUNTAIN, NC 28711
(828) 669-9704
(828) 669-7413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056226
NC
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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