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Jacquetta Riley
Licensed Practical Nurse in Orangeburg, South Carolina
NPI 1245829928

Jacquetta Riley is a Licensed Practical Nurse based in Orangeburg, SC. Jacquetta Riley practices in Orangeburg, SC. The NPI Number for Jacquetta Riley is 1245829928 and holds a License No. P47848 (South Carolina).

The current practice location address for Jacquetta Riley is 1550 Carolina Ave, Orangeburg, SC and can be reached out via phone at 803-533-5489. You can also correspond with Jacquetta Riley through the mailing address at 1550 CAROLINA AVE, ORANGEBURG, SC - 29115-4944 (mailing address contact number: 803-533-5489).

Location: 1550 Carolina Ave, Orangeburg, SC, 29115-4944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245829928
Provider Name
Jacquetta Riley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1550 Carolina Ave, Orangeburg, SC, 29115-4944
Phone Number
803-533-5489
Fax Number
Provider Enumeration Date
01/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 VACCINES
0511SC 01 SC VACCINATING
000 01 0000
institution
Provider Business Practice Location Address Details
Address
1550 Carolina Ave
City
Orangeburg
State
South Carolina
Zip
29115-4944
Phone Number
803-533-5489
Fax Number
person
Provider Business Mailing Address Details
Address
1550 Carolina Ave
City
Orangeburg
State
South Carolina
Zip
29115-4944
Phone Number
803-533-5489
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
P47848 (South Carolina)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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