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Jerica Jackson

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

NPI number1386586063
StatusActive
Last updated in NPPESApr 9, 2026

Details

NPI
1386586063
Entity type
Individual (NPI-1)
Name
Ms. Jerica Jackson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2026
Certification date
Apr 9, 2026
Last updated
Apr 9, 2026

Taxonomy and licenses

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

Practice location

1125 N Church St
Greensboro, NC 27401-1007

Phone 336-832-8035

Mailing address

1125 N Church St
Greensboro, NC 27401-1007

Phone 336-832-8035

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