Search › North Carolina › 101YP2500X
Tommie Jackson
NPI 1093754673 · on the registry since 2006
Practice
- Address
- 453 W End Blvd
Winston Salem, NC 27101 - Phone
- (336) 750-0130
- Fax
- (336) 750-0073
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina