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 |
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| 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 |
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| First Enrolment Date : | 02 Apr, 2018 |
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| Last Updated On : | 04 May, 2023 |
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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 | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | No | 2021-01806 | NC |
| 208000000X | Pediatrics | Yes | 2021-01806 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-381-8840 |
920 CHURCH ST N,
CONCORD, NC, 28025-2927
United States | CONCORD, NC | 704-403-3664 |
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 Type | Endpoint | Affiliation | Use | Content | Address |
|---|
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.