T JACKSON

HOLLY SPRINGS, NC
NPI1033681655
Former NameTRACEY SOPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NC  5020358)
Enumeration Date2018-12-20
Last Update Date2025-04-29
Business Address
T JACKSON APRN
713 MILTON BLUFF LANE
HOLLY SPRINGS, NC 27540-4503
Phone number: 984-332-7015
Mailing Address
T JACKSON APRN
713 MILTON BLUFF LANE
HOLLY SPRINGS, NC 27540-4503
Phone number: 984-332-7015
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