Warren, Deborah Jackson

Warren, Deborah Jackson is an individual health care provider with primary practice located at 307 W Cornelius Harnett Blvd , Lillington NC 27546-9335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Warren, Deborah Jackson can be contacted via phone (910) 814-6280.

Contact Information

Primary practice address
307 W Cornelius Harnett Blvd Lillington NC 27546-9335
Fax: (910) 893-9429
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 200304 North Carolina

Profile Details

NPI number 1578603254
LBN Legal business name Warren, Deborah Jackson
Credentials RN,FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1578603254 NPPES
North Carolina MEDICAID NC3404343
North Carolina MEDICAID NC3404456
North Carolina Other 183296
North Carolina Other 07212

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