Safrit, Debra Jackson

Safrit, Debra Jackson is an individual health care provider with primary practice located at 2664 Court Drive Suite A, Gastonia NC 28054-1449. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Safrit, Debra Jackson can be contacted via phone (704) 861-9030.

Contact Information

Primary practice address
2664 Court Drive Suite A Gastonia NC 28054-1449
Phone: (704) 861-9030
Fax: (704) 833-1234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201734 North Carolina

Profile Details

NPI number 1720069917
LBN Legal business name Safrit, Debra Jackson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720069917 NPPES
North Carolina MEDICAID 7000947

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