Jackson, Jennifer Parker

Jackson, Jennifer Parker is an sole proprietor health care provider with primary practice located at 5700 Executive Center Dr Ste 110 , Charlotte NC 28212-8833. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Jennifer Parker can be contacted via phone (704) 219-9166.

Contact Information

Primary practice address
5700 Executive Center Dr Ste 110 Charlotte NC 28212-8833
Phone: (704) 219-9166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 206943 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 206943 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5006893 North Carolina

Profile Details

NPI number 1013245745
LBN Legal business name Jackson, Jennifer Parker
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2009
Last updated Dec 15th, 2022 - about 2 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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