Porshai Juanice Jackson
Porshai Juanice Jackson is a Prosthetist in Charlotte, North Carolina. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6341 Derryfield DrCharlotte, NC 28213-5532
Phone: (980) 230-8248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetist (primary) | Taxonomy 224P00000X |
|---|
Record details
| NPI number | 1356990022 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 5, 2019 |
| Last updated in NPPES | September 5, 2019 |
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