Search › North Carolina › 225700000X
Illeana Jackson, LMT/MLD
NPI 1790636777 · on the registry since 2026 · sole proprietor
Practice
- Address
- 6682 Vaughn Rd
Fayetteville, NC 28304 - Phone
- (910) 885-5396
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-05
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