Jackson, Deja
Jackson, Deja is an sole proprietor health care provider with primary practice located at 3005 Village Park Dr Ste 204B , Knightdale NC 27545-7993. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Deja can be contacted via phone (910) 489-6595.Contact Information
Primary practice address
3005 Village Park Dr Ste 204B
Knightdale NC 27545-7993
Phone: (910) 489-6595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | North Carolina |
Profile Details
| NPI number | 1336713684 |
|---|---|
| LBN Legal business name | Jackson, Deja |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2021 |
| Last updated | May 19th, 2021 - about 4 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.
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