Individual
CIARA SHEREE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
616 CASSELL DR APT 104, FAYETTEVILLE, NC 28311-1666
(910) 689-6953
Mailing address
616 CASSELL DR APT 104, FAYETTEVILLE, NC 28311-1666
(910) 689-6953
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
577988
NC
Other
Enumeration date
07/23/2025
Last updated
08/04/2025
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