NPI 1114101896

Ann Patricia Jackson, LPCNCC

Practitioner Health Maintenance Organization Elkin, NC

Practice location

Address: 200 Elkin Business Park Dr, Elkin, NC 28621-3159
Phone: (336) 835-1000
Fax: (336) 835-1075

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 4131 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1114101896
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2007
Record last updated: 18 Dec 2007

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.