person
Tamiko Jackson
Family Nurse Practitioner in Myrtle Beach, South Carolina
NPI 1063875474

Tamiko Jackson is a Family Nurse Practitioner based in Myrtle Beach, SC and is specialized in Family. Tamiko Jackson practices in Myrtle Beach, SC. The NPI Number for Tamiko Jackson is 1063875474 and holds a License No. 20057 (South Carolina).

The current practice location address for Tamiko Jackson is 920 Doug White Dr Ste 510, Myrtle Beach, SC and can be reached out via phone at 843-497-7772 and via fax at 843-848-7530.

Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC, 29572-4183
person
Provider Profile Details
NPI Number
1063875474
Provider Name
Tamiko Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
920 Doug White Dr Ste 510, Myrtle Beach, SC, 29572-4183
Phone Number
843-497-7772
Fax Number
843-848-7530
Provider Enumeration Date
04/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 Doug White Dr Ste 510
City
State
Zip
29572-4183
Phone Number
843-497-7772
Fax Number
843-848-7530
person
Provider Business Mailing Address Details
Address
920 Doug White Dr Ste 510
City
State
Zip
29572-4183
Phone Number
843-497-7772
Fax Number
843-848-7530
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20057 (South Carolina)
Definition
Definition to come...
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