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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISHI KAVON JACKSON, MD

Active

MISHI KAVON JACKSON, MD is a Family Medicine healthcare provider located in KERNERSVILLE, North Carolina. NPI 1215006192 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KERNERSVILLE, NC

Registration Details

NPI Number
1215006192
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2006 (19.767514306156 yrs)
Last Updated
Mar 7, 2023
License
200600012 (NC)

Practice Information

Address
1471 JAG BRANCH BLVD UNIT 103
KERNERSVILLE, NC, 272846963
Browse NC providers · Browse ZIP 27284
Phone
3365157410
Fax
3365157419
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in KERNERSVILLE, NC

Name Credential NPI
CATHY M JUDGE SWANEY MD 1538162243
DR. ALISON TOWNSEND SNIDER MD 1265432983
EUGENE HENRY PETER WADE MD 1548256266
CANDACE ANGELENA BRADLEY D.O. 1558358234
DR. WILLIAM SHERWOOD KELLY M.D. 1730170374
ALEXIS A BUZUMA DO 1982682993
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.