Jackson, Cheryl
Jackson, Cheryl is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27599-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Jackson, Cheryl can be contacted via phone (919) 966-8596.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27599-0001
Phone: (919) 966-8596
Fax: (919) 843-5515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 94-00282 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 94-00282 | North Carolina |
Profile Details
| NPI number | 1831289586 |
|---|---|
| LBN Legal business name | Jackson, Cheryl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 11th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831289586 | NPPES |
| North Carolina | MEDICAID | 891071X |
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