Individual
CASEY ASHTON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 319-2424
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001015595
NC
Other
Enumeration date
12/31/2024
Last updated
08/18/2025
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