Individual
MRS. IRIS W JACKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 FIDELITY ST, CARRBORO, NC 27510-2002
(919) 933-8381
(919) 933-6623
Mailing address
127 FIDELITY ST, CARRBORO, NC 27510-2002
(919) 933-8381
(919) 933-6623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236553
NC
Other
Enumeration date
09/16/2015
Last updated
07/28/2021
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