Jackson, Jacquelyn Chrisana

Jackson, Jacquelyn Chrisana is an individual health care provider with primary practice located at 1021 Morehead Medical Dr Ste A, Charlotte NC 28204-2990. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Jackson, Jacquelyn Chrisana can be contacted via phone (980) 442-2000.

Contact Information

Primary practice address
1021 Morehead Medical Dr Ste A Charlotte NC 28204-2990
Phone: (980) 442-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 2022-00316 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2022-00316 North Carolina

Profile Details

NPI number 1316267057
LBN Legal business name Jackson, Jacquelyn Chrisana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated Jul 15th, 2024 - about 5 months 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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