Mrs. Jennifer Parker Jackson
Nurse Practitioner - Psychiatric/Mental Health
5700 Executive Center Dr Ste 110
Charlotte
, North Carolina 28212-8833
Mrs. Jennifer Parker Jackson
Nurse Practitioner - Psychiatric/Mental Health
5700 Executive Center Dr Ste 110
Charlotte
, North Carolina 28212-8833
(704) 219-9166
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mrs. Jennifer Parker Jackson
- 3301 Taviston Dr
- Waxhaw, NC
- Zip : 28173-6916
- Phone : (704) 219-9166
Second Address
- Mrs. Jennifer Parker Jackson
- 5700 Executive Center Dr Ste 110
- Charlotte, NC
- Zip : 28212-8833
- Phone : (704) 219-9166
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 206943 | NC |
National Provider Identifier
| NPI | 1013245745 |
|---|---|
| Provider Name | Mrs. Jennifer Parker Jackson |
| First Address | Waxhaw, NC 28173-6916 |
| Second Address | Charlotte, NC 28212-8833 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2009 |
| Last Update Date | 12/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.