Individual
SHARON RENA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
269855
NC
174H00000X
Health Educator
Primary
11452
NC
174H00000X
Health Educator
—
—
Other
Enumeration date
06/16/2020
Last updated
10/04/2021
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