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Kelcy Leigh Jackson, MD
Student in an Organized Health Care Education/Training Program in Charlotte, North Carolina
NPI 1316797269

Kelcy Leigh Jackson is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Kelcy Leigh Jackson practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Kelcy Leigh Jackson is 1316797269 and holds a License No. (North Carolina).

The current practice location address for Kelcy Leigh Jackson is 1000 Blythe Blvd, Charlotte, NC and can be reached out via phone at 704-355-2000.

Location: 1000 Blythe Blvd, Charlotte, NC, 28203-5871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316797269
Provider Name
Kelcy Leigh Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1000 Blythe Blvd, Charlotte, NC, 28203-5871
Phone Number
704-355-2000
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-2000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Blythe Blvd
City
Charlotte
State
North Carolina
Zip
28203-5812
Phone Number
704-355-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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