Kendra Joy Jackson

MD | Pediatrics | Female

Kendra Joy Jackson, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Kendra Joy Jackson is 1000 Blythe Blvd, Charlotte, North Carolina - 28203-5812. She can be contacted on phone at 704-355-2171. Kendra Joy Jackson is a sole proprietor of her business.
NPI number (Unique professional ID) for Kendra Joy Jackson is 1649776469 which was assigned by NPPES on 02 Apr, 2018 and it was last updated on 04 May, 2023. Kendra Joy Jackson license number is 2021-01806 for Pediatrics (208000000X) in North Carolina.
Kendra Joy Jackson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kendra Joy Jackson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Kendra Joy Jackson
Credential :MD
Gender :Female
Business Address:
Kendra Joy Jackson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1000 Blythe Blvd
Charlotte, NC, 28203-5812
United States
Phone Number :704-355-2171
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1649776469
NPI Entity Type : Individual
First Enrolment Date : 02 Apr, 2018
Last Updated On : 04 May, 2023
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kendra Joy Jackson are as mentioned. Primary taxonomy code for Kendra Joy Jackson, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
2080P0204XPediatrics, Pediatric Emergency MedicineNo2021-01806NC
208000000XPediatricsYes2021-01806NC
Other Practice Locations:
Practice AddressCity, StatePhone Number
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC, 28203-5866
United States
CHARLOTTE, NC704-381-8840
920 CHURCH ST N,
CONCORD, NC, 28025-2927
United States
CONCORD, NC704-403-3664
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
kjackson423699@CarolinasHealthcareSystem.direct-ci.com





1000 Blythe Blvd,
Charlotte, NC, 28203-5812
United States
CONNECT
(CONNECT URL)
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2
OTHER
Other
CMS esMD eMDR


100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 19305
Charlotte, NC, 28219-9305
United States
Business Location:
Patients can refer following map for directions to Kendra Joy Jackson practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.