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Porshai Juanice Jackson

Prosthetist

6341 Derryfield Dr
Charlotte , North Carolina 28213-5532

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Porshai Juanice Jackson

Prosthetist

6341 Derryfield Dr
Charlotte , North Carolina 28213-5532

(980) 230-8248

Write a Review Save Call

Porshai Juanice Jackson

Prosthetist

6341 Derryfield Dr
Charlotte , North Carolina 28213-5532

(980) 230-8248 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthetist

Languages spoken

  • English

Location

6341 Derryfield Dr Charlotte , North Carolina 28213-5532

First Address

  • Porshai Juanice Jackson
  • 6341 Derryfield Dr
  • Charlotte, NC
  • Zip : 28213-5532
  • Phone : (980) 230-8248

Second Address

  • Porshai Juanice Jackson
  • 6341 Derryfield Dr
  • Charlotte, NC
  • Zip : 28213-5532
  • Phone : (980) 230-8248

Reviews

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FAQs


Where did Porshai Juanice Jackson attend graduate school?

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Where did Porshai Juanice Jackson do her residency?

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Where did Porshai Juanice Jackson do her fellowship?

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Is Porshai Juanice Jackson board certified?

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What type of doctor is Porshai Juanice Jackson

Prosthetist

In what state does Porshai Juanice Jackson practice in?

North Carolina

Where is Porshai Juanice Jackson ’s practice located?

6341 Derryfield Dr , Charlotte, North Carolina, 28213-5532

What is Porshai Juanice Jackson ’s gender?

Female

Is Porshai Juanice Jackson a sole practitioner?

No

Is Porshai Juanice Jackson accepting new patients?

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What languages does Porshai Juanice Jackson speak?

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Does Porshai Juanice Jackson accept insurance?

Yes, Porshai Juanice Jackson accepts insurance

Does Porshai Juanice Jackson offers telemedicine?

Porshai Juanice Jackson has not indicated if she offers telemedicine

What is Porshai Juanice Jackson ’s professional license number?

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What is Porshai Juanice Jackson ’s NPI number?

1356990022

Does Porshai Juanice Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 224P00000X Prosthetist

National Provider Identifier

NPI 1356990022
Provider Name Porshai Juanice Jackson
First Address Charlotte, NC 28213-5532
Second Address Charlotte, NC 28213-5532
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 05/09/2019
Last Update Date 05/09/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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