Rana Kaye Jackson | |
7 Skylyn Ct Asheville NC 28806-3922 | |
(808) 651-2458 | |
Not Available |
Full Name | Rana Kaye Jackson |
---|---|
Speciality | Social Worker |
Location | 7 Skylyn Ct, Asheville, North Carolina |
Authorized Official Name and Position | Rana Kaye Jackson (LCSW) |
Authorized Official Contact | 8086512458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rana Kaye Jackson 7 Skylyn Ct Asheville NC 28806-3922 Ph: (808) 651-2458 | Rana Kaye Jackson 7 Skylyn Ct Asheville NC 28806-3922 Ph: (808) 651-2458 |
NPI Number | 1932686680 |
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Provider Enumeration Date | 07/25/2018 |
Last Update Date | 12/19/2023 |
Certification Date | 12/19/2023 |
Medicare PECOS PAC ID | 3971844226 |
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Medicare Enrollment ID | O20190415000660 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932686680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C009422 (North Carolina) | Primary |
Provider Name | Rana Kaye Jackson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467708495 PECOS PAC ID: 5799026043 Enrollment ID: I20190415001033 |
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