KENDRA D JACKSON
NPI 1073341418
Nursing Home Administrator in Raleigh, NC

Q: What is Kendra Jackson's NPI number?

The NPI number for Kendra Jackson is 1073341418. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Q: What is Kendra Jackson's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Jackson was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2024

6210 LITCHFORD FOREST LN APT 308, RALEIGH, NC 27615(252) 316-2170 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendra D Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA D JACKSON (NPI 1073341418) is an individual nursing home administrator provider in Raleigh, North Carolina and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1073341418

Entity TypeIndividualFemale

Primary Taxonomy376G00000X

Provider Legal NameKENDRA D JACKSON

Location Address6210 LITCHFORD FOREST LN APT 308Raleigh, NC 27615-7173

Mailing AddressPo Box 28544Raleigh, NC 27611-8544 · (252) 316-2170

Phone(252) 316-2170

Sole ProprietorNo

Enumeration DateJuly 25, 2024

NPPES CertifiedJuly 25, 2024

✔ NPI 1073341418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers

Taxonomy Code376G00000X

Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.

6210 LITCHFORD FOREST LN APT 308, Raleigh, NC 27615

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kendra Jackson's NPI number?

The NPI number for Kendra Jackson is 1073341418. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Kendra Jackson located?

Kendra Jackson practices at 6210 Litchford Forest Ln Apt 308, Raleigh, NC 27615. The listed phone number is (252) 316-2170.

What is Kendra Jackson's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Kendra Jackson was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.