Individual
MRS. EARLINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN CMLDT LMT
Contact information
Practice address
2631 BRIGHTON BLUFF DR, APEX, NC 27539-7978
(919) 677-0767
(919) 322-0976
Mailing address
2631 BRIGHTON BLUFF DR, APEX, NC 27539-7978
(919) 677-0767
(919) 322-0976
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
71590
NC
174400000X
Specialist
8517
NC
Other
Enumeration date
02/05/2007
Last updated
07/23/2025
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