Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRENNA DORIZ JACKSON
ActivePRENNA DORIZ JACKSON is a Medical Physician Assistant healthcare provider located in ALBEMARLE, North Carolina. NPI 1164163432 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ALBEMARLE, NC
Registration Details
- NPI Number
- 1164163432
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2022 (4.4073014681987 yrs)
- Last Updated
- Apr 2, 2022
- License
-
0010-12121 (NC)
Practice Information
- Address
-
1420 US 52 N STE BALBEMARLE, NC, 280012622Browse NC providers · Browse ZIP 28001
- Phone
- 7042374240
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ALBEMARLE, NC
| Name | Credential | NPI |
|---|---|---|
| MISS MICHELLE LOUISE BAYER | — | 1669102943 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.