Jalisa Jackson
Community Based Residential Treatment Facility, Mental Illness
About Jalisa Jackson
Jalisa Jackson is a female healthcare professional specializing in Community Based Residential Treatment Facility, Mental Illness, registered under National Provider Identifier (NPI) number 1366041667.
Their primary practice is located at 11413 MANGLA DR, Charlotte, North Carolina 28214. Patients can reach the office at (704) 819-4909. Jalisa Jackson has been NPI-registered since 2020.
Doctor Details
Identity & Credentials
- NPI Number
- 1366041667
- Entity Type
- Individual
- First Name
- Jalisa
- Last Name
- Jackson
- Gender
- Female
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 11413 MANGLA DR
- City
- Charlotte
- State
- North Carolina
- ZIP
- 28214-8885
- Country
- United States
- Phone
- (704) 819-4909
Specialty & Taxonomy
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Classification
- Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 11413 MANGLA DR
- City
- CHARLOTTE
- State
- NC
- ZIP
- 282148885
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Jalisa Jackson's NPI number?
What does Jalisa Jackson specialize in?
Where is Jalisa Jackson located?
Does Jalisa Jackson accept Medicare?
Does Jalisa Jackson offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jalisa Jackson is 1366041667.