person
Mrs. Tonda P Jackson, FNP
Family Nurse Practitioner in Columbia, South Carolina
NPI 1184690174

Tonda P Jackson is a Family Nurse Practitioner based in Los Angeles, SC and is specialized in Family. Tonda P Jackson practices in Columbia, SC and has the professional credentials of FNP. The NPI Number for Tonda P Jackson is 1184690174 and holds a License No. APN883 (South Carolina).

The current practice location address for Tonda P Jackson is 4100 N Main St Ste 102, Columbia, SC and can be reached out via phone at 803-223-9895 and via fax at 803-735-3641.

Location: 4100 N Main St Ste 102, Columbia, SC, 90028-7422
person
Provider Profile Details
NPI Number
1184690174
Provider Name
Tonda P Jackson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4100 N Main St Ste 102, Columbia, SC, 90028-7422
Phone Number
803-223-9895
Fax Number
803-735-3641
Provider Enumeration Date
02/28/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0831 05 SC
institution
Provider Business Practice Location Address Details
Address
4100 N Main St Ste 102
City
State
Zip
29203-5800
Phone Number
803-223-9895
Fax Number
803-735-3641
person
Provider Business Mailing Address Details
Address
4100 N Main St Ste 102
City
State
Zip
29203-5800
Phone Number
803-223-9895
Fax Number
803-735-3641
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APN883 (South Carolina)
Definition
Definition to come...
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