Dr. Akua Jackson, PhD
Psychologist, Clinical in Durham, NC. Individual provider (NPI-1).
NPI number1669962650
StatusActive
Last updated in NPPESDec 15, 2024
Details
- NPI
- 1669962650
- Entity type
- Individual (NPI-1)
- Name
- Dr. Akua Jackson
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2018
- Certification date
- Dec 15, 2024
- Last updated
- Dec 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 5720 | NC | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
2634 Durham Chapel Hill Blvd Ste 220Durham, NC 27707-2877
Phone 919-288-8993
Mailing address
5306 Nc Highway 55 Ste 105Durham, NC 27713-7812
Phone 919-457-1517
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