Individual
MRS. ALEXANDRA MEGAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6301 HERNDON ROAD, DURHAM, NC 27713
(919) 699-1344
Mailing address
3042 ROSEWOOD DR, DURHAM, NC 27705-1526
(919) 699-1344
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5007483
NC
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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