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
Phone: (910) 814-6280
Fax: (910) 893-9429
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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