Whalio Doctors

NPI 1073341418

Kendra D Jackson

Practitioner Nursing Home Administrator Raleigh, NC

Practice location

Address
6210 Litchford Forest Ln APT 308, Raleigh, NC 27615-7173
Phone
(252) 316-2170
Mailing address
PO Box 28544, Raleigh, NC 27611-8544

Registered specialties

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X

Registry record

NPI
1073341418
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jul 2024
Record last updated
25 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.