IndividualActive
Crystal Jackson
NPI 1265081384 · Speech-Language Assistant · Charlotte, NC
Provider details
- NPI number
- 1265081384
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0545 (NC)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2426 Cairns Mill Ct
Charlotte, NC 28269-4083
Phone: (910) 973-7620
Approximate (ZIP-level) locationGet directions
Mailing address
2426 Cairns Mill Ct
Charlotte, NC 28269-4083
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2019-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.