Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alisa Jackson

Individual provider Speech-Language Pathologist · NPI 1255202248

Alisa Jackson is a Speech-Language Pathologist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068
Phone: (704) 750-0675
Fax: (704) 831-5369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 30004511 (NC)

Record details

NPI number1255202248
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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