Quentera Jackson, is a
Social Worker - Clinical based in Fayetteville, North Carolina. Quentera Jackson is licensed to practice in North Carolina (license number P016111) and her current practice location is
324 Person St, Fayetteville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 438-0939.
NPI number for Quentera Jackson is 1205501780 and her current mailing address is 2670 Durham Chapel Hill Blvd, Durham, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205501780.
Healthcare Provider's Profile
Full Name | Quentera Jackson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 324 Person St, Fayetteville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205501780
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 08/16/2021
Medical Identifiers
Medical identifiers for Quentera Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205501780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P016111 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Quentera Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Quentera Jackson, 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 Ph: () - | Quentera Jackson, 324 Person St, Fayetteville, NC 28301-5736 Ph: (910) 438-0939 |
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