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Cameron Ruth Jackson

Student in an Organized Health Care Education/Training Program in Charlotte, NC. Individual provider (NPI-1).

NPI number1386584589
StatusActive
Last updated in NPPESMar 30, 2026

Details

NPI
1386584589
Entity type
Individual (NPI-1)
Name
Cameron Ruth Jackson
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 30, 2026
Certification date
Mar 30, 2026
Last updated
Mar 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1350 S Kings Dr
Charlotte, NC 28207-2134

Phone 704-446-1544

Mailing address

5370 Mount Vernon Pkwy
Atlanta, GA 30327-4736

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