SearchNorth Carolina374J00000X

Maya Jackson

NPI 1295425114 · on the registry since 2023 · sole proprietor

Practice

Address
1321 Hill St
Durham, NC 27707
Phone
(919) 475-0831

Registry record

Primary taxonomy
374J00000X
374J00000X
Also registered as
172V00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-26

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