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Susan K Jackson, NP
Psychiatric/Mental Health Nurse Practitioner in Smithfield, North Carolina
NPI 1992895700

Susan K Jackson is a Psychiatric/Mental Health Nurse Practitioner based in Smithfield, NC and is specialized in Psychiatric/Mental Health. Susan K Jackson practices in Smithfield, NC and has the professional credentials of NP. The NPI Number for Susan K Jackson is 1992895700 and holds a License No. RN074602 (North Carolina).

The current practice location address for Susan K Jackson is 521 N Brightleaf Blvd, Smithfield, NC and can be reached out via phone at 919-989-5500.

Location: 521 N Brightleaf Blvd, Smithfield, NC, 27577-0411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992895700
Provider Name
Susan K Jackson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
521 N Brightleaf Blvd, Smithfield, NC, 27577-0411
Phone Number
919-989-5500
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6005045 05 NC
institution
Provider Business Practice Location Address Details
Address
521 N Brightleaf Blvd
City
Smithfield
State
North Carolina
Zip
27577-4407
Phone Number
919-989-5500
Fax Number
person
Provider Business Mailing Address Details
Address
521 N Brightleaf Blvd
City
Smithfield
State
North Carolina
Zip
27577-4407
Phone Number
919-989-5500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
NP005000618 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
RN074602 (North Carolina)
Definition
Definition to come...
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