Individual
JUDY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
206 GATEWOOD AVE, HIGH POINT, NC 27262-4820
(336) 331-9353
Mailing address
1711 HANOVER CT, HIGH POINT, NC 27265-3376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
113094
NC
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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