Individual
ERIN SHUNKESHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11330 VANSTORY DR STE 109F, HUNTERSVILLE, NC 28078-8146
(980) 705-4122
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(407) 579-1771
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4147
NC
Other
Enumeration date
11/17/2006
Last updated
11/19/2024
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