Individual
LISA AMAYA-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DUKE UNIVERSITY MEDICAL CTR, DURHAM, NC 27710-0001
(919) 620-4467
Mailing address
PO BOX 63362, DUMC 3613, CHARLOTTE, NC 28263-3362
(919) 620-4918
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31728
NC
Other
Enumeration date
10/23/2006
Last updated
12/27/2016
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