PRENNA DORIZ JACKSON

ALBEMARLE, NC
NPI1164163432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NC  0010-12121)
Enumeration Date2022-04-02
Last Update Date2022-04-02
Business Address
PRENNA DORIZ JACKSON
1420 US 52 N STE B
ALBEMARLE, NC 28001-2622
Phone number: 704-237-4240
Mailing Address
PRENNA DORIZ JACKSON
295 S EAGLE CREEK DR
LEXINGTON, KY 40515-5919
Phone number: 267-231-1585
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