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SANDRA EVANS JACKSON M.S.
NPI 1710230917
Counselor - Professional in Greenville, NC

Active since October 25, 2012
1035 DIRECTOR CT, SUITE C, GREENVILLE, NC 27858(252) 215-9011 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Evans Jackson M.s. NPPES

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

SANDRA EVANS JACKSON M.S. (NPI 1710230917) is an individual professional provider in Greenville, North Carolina, licensed in North Carolina (A9791) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1710230917
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSANDRA EVANS JACKSONCredential: M.S.
Location Address1035 DIRECTOR CT, SUITE CGreenville, NC 27858-5996
Mailing Address2810 Bells Fork RdGreenville, NC 27858-8083 · (252) 353-7969
Phone(252) 215-9011
Sole ProprietorYes
Enumeration DateOctober 25, 2012
✔ NPI 1710230917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · A9791
1035 DIRECTOR CT, Greenville, NC 27858
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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 Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1710230917. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Sandra Jackson located?

Sandra Jackson practices at 1035 Director Ct Suite C, Greenville, NC 27858. The listed phone number is (252) 215-9011.

What is Sandra 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 Sandra Jackson was last updated on October 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.