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Erin Miranda Jackson, FNP
Family Nurse Practitioner in Columbia, South Carolina
NPI 1174961551

Erin Miranda Jackson is a Family Nurse Practitioner based in Burtonsville, SC and is specialized in Family. Erin Miranda Jackson practices in Columbia, SC and has the professional credentials of FNP. The NPI Number for Erin Miranda Jackson is 1174961551 and holds a License No. 041347034 (South Carolina).

The current practice location address for Erin Miranda Jackson is 4500 Stuart St, Columbia, SC and can be reached out via phone at 309-360-5141.

Location: 4500 Stuart St, Columbia, SC, 20866-1339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174961551
Provider Name
Erin Miranda Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4500 Stuart St, Columbia, SC, 20866-1339
Phone Number
309-360-5141
Fax Number
Provider Enumeration Date
06/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4500 Stuart St
City
Columbia
State
South Carolina
Zip
29207-5700
Phone Number
309-360-5141
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Stuart St
City
Columbia
State
South Carolina
Zip
29207-5700
Phone Number
309-360-5141
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
041347034 (Illinois)
Definition
Definition to come...
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