Search › North Carolina › 235Z00000X
Staci Jackson, SLP
NPI 1316172778 · on the registry since 2009
Practice
- Address
- 4917 Southwin Dr
Winston Salem, NC 27104 - Phone
- (336) 287-2175
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-10-21
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