Individual
JOSHUA D JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN ROAD, DURHAM, NC 27710-4132
(919) 684-8111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/27/2026
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