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MRS. CANDICE EPPS JACKSON MS EDS
NPI 1215358254
Counselor - Professional in Lexington, NC

Active since December 18, 2013
1104 S MAIN ST STE A, LEXINGTON, NC 27292(704) 939-1100 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Candice Epps Jackson Ms Eds NPPES

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

MRS. CANDICE EPPS JACKSON MS EDS (NPI 1215358254) is an individual professional provider in Lexington, North Carolina, licensed in North Carolina (A10851) and active in the NPI registry since December 2013. She maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1215358254
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. CANDICE EPPS JACKSONCredential: MS EDS
Location Address1104 S MAIN ST STE ALexington, NC 27292-3134
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 939-1100
Sole ProprietorNo
Enumeration DateDecember 18, 2013
Last NPPES UpdateDecember 3, 2019
✔ NPI 1215358254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A10851
Also ListedCounselorTaxonomy 101Y00000X
1104 S MAIN ST STE A, Lexington, NC 27292
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Secondary Practice Location 1

Location 1234C E Washington StGreensboro, NC 27401-2704 · Phone (336) 889-8800

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA DAWN DOLLARHITE LCSWA
Social Worker (Clinical)
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Davidson County (336) 242-2450
HOLLIN ELIZABETH DRANE
Licensed Practical Nurse
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Davidson County (336) 242-2450
NICOLE GENUNG
Counselor (Addiction (Substance Use Disorder))
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Davidson County (336) 242-2450
MARLENE ANN HNILICA
Nurse Practitioner (Psychiatric/Mental Health)
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Davidson County (336) 242-2450

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 Candice Jackson's NPI number?

The NPI number for Candice Jackson is 1215358254. It was assigned to this individual provider in the NPPES registry on December 18, 2013.

Where is Candice Jackson located?

Candice Jackson practices at 1104 S Main St Ste A, Lexington, NC 27292. The listed phone number is (704) 939-1100.

What is Candice Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Candice Jackson was last updated on December 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.