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Prenna Doriz Jackson
Medical Physician Assistant in Albemarle, North Carolina
NPI 1164163432

Prenna Doriz Jackson is a Medical Physician Assistant based in Lexington, NC and is specialized in Medical. Prenna Doriz Jackson practices in Albemarle, NC. The NPI Number for Prenna Doriz Jackson is 1164163432 and holds a License No. 0010-12121 (North Carolina).

The current practice location address for Prenna Doriz Jackson is 1420 Us 52 N Ste B, Albemarle, NC and can be reached out via phone at 704-237-4240.

Location: 1420 Us 52 N Ste B, Albemarle, NC, 40515-5919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164163432
Provider Name
Prenna Doriz Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1420 Us 52 N Ste B, Albemarle, NC, 40515-5919
Phone Number
704-237-4240
Fax Number
Provider Enumeration Date
04/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1420 Us 52 N Ste B
City
Albemarle
State
North Carolina
Zip
28001-2622
Phone Number
704-237-4240
Fax Number
person
Provider Business Mailing Address Details
Address
1420 Us 52 N Ste B
City
Albemarle
State
North Carolina
Zip
28001-2622
Phone Number
704-237-4240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-12121 (North Carolina)
Definition
Definition to come...
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