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PORSHAI JUANICE JACKSON
NPI 1356990022
Prosthetist in Charlotte, NC

Active since September 05, 2019
6341 DERRYFIELD DR, CHARLOTTE, NC 28213(980) 230-8248 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Porshai Juanice Jackson NPPES

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

PORSHAI JUANICE JACKSON (NPI 1356990022) is an individual prosthetist provider in Charlotte, North Carolina and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1356990022
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NamePORSHAI JUANICE JACKSON
Location Address6341 DERRYFIELD DRCharlotte, NC 28213-5532
Mailing Address6341 Derryfield DrCharlotte, NC 28213-5532 · (980) 230-8248
Phone(980) 230-8248
Sole ProprietorNo
Enumeration DateSeptember 5, 2019
✔ NPI 1356990022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
6341 DERRYFIELD DR, Charlotte, NC 28213
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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 Porshai Jackson's NPI number?

The NPI number for Porshai Jackson is 1356990022. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Porshai Jackson located?

Porshai Jackson practices at 6341 Derryfield Dr, Charlotte, NC 28213. The listed phone number is (980) 230-8248.

What is Porshai Jackson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Porshai Jackson was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.