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Porshai Juanice Jackson
Prosthetist in Charlotte, North Carolina
NPI 1356990022

Porshai Juanice Jackson is a Prosthetist based in Charlotte, NC. Porshai Juanice Jackson practices in Charlotte, NC. The NPI Number for Porshai Juanice Jackson is 1356990022 and holds a License No. (North Carolina).

The current practice location address for Porshai Juanice Jackson is 6341 Derryfield Dr, Charlotte, NC and can be reached out via phone at 980-230-8248.

Location: 6341 Derryfield Dr, Charlotte, NC, 28213-5532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356990022
Provider Name
Porshai Juanice Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6341 Derryfield Dr, Charlotte, NC, 28213-5532
Phone Number
980-230-8248
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6341 Derryfield Dr
City
Charlotte
State
North Carolina
Zip
28213-5532
Phone Number
980-230-8248
Fax Number
person
Provider Business Mailing Address Details
Address
6341 Derryfield Dr
City
Charlotte
State
North Carolina
Zip
28213-5532
Phone Number
980-230-8248
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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