NPI 1073341418
Kendra D Jackson
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
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.