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KENDRA JACKSON NP
NPI 1114541455
Nurse Practitioner - Family in Denver, NC

Active since June 02, 2020
7585 NC-73, SALON LOFTS #13, DENVER, NC 28037(704) 577-4135 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2023, Jun 2, 2020 (2 updates tracked since 2020).

About Kendra Jackson Np NPPES

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

KENDRA JACKSON NP (NPI 1114541455) is an individual family provider in Denver, North Carolina, licensed in North Carolina (5012135) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1114541455
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA JACKSONCredential: NP
Location Address7585 NC-73, SALON LOFTS #13Denver, NC 28037
Mailing Address7585 Nc-73, Salon Lofts #13Denver, NC 28037 · (704) 577-4135
Phone(704) 577-4135
Sole ProprietorNo
Enumeration DateJune 2, 2020
Last NPPES UpdateFebruary 23, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1114541455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5012135
7585 NC-73, Denver, NC 28037
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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 1114541455. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Kendra Jackson located?

Kendra Jackson practices at 7585 Nc-73 Salon Lofts #13, Denver, NC 28037. The listed phone number is (704) 577-4135.

What is Kendra Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kendra Jackson was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.