person
Jackie P. Stafford, DNP
Adult Health Nurse Practitioner in Cheraw, South Carolina
NPI 1609150622

Jackie P. Stafford is an Adult Health Nurse Practitioner based in Florence, SC and is specialized in Adult Health. Jackie P. Stafford practices in Cheraw, SC and has the professional credentials of DNP. The NPI Number for Jackie P. Stafford is 1609150622 and holds a License No. 17625 (South Carolina).

The current practice location address for Jackie P. Stafford is 710 Chesterfield Hwy, Cheraw, SC and can be reached out via phone at 843-537-2171 and via fax at 843-537-5926.

Location: 710 Chesterfield Hwy, Cheraw, SC, 29502-3239
person
Provider Profile Details
NPI Number
1609150622
Provider Name
Jackie P. Stafford
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
710 Chesterfield Hwy, Cheraw, SC, 29502-3239
Phone Number
843-537-2171
Fax Number
843-537-5926
Provider Enumeration Date
10/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1947 05 SC
institution
Provider Business Practice Location Address Details
Address
710 Chesterfield Hwy
City
State
Zip
29520-7001
Phone Number
843-537-2171
Fax Number
843-537-5926
person
Provider Business Mailing Address Details
Address
710 Chesterfield Hwy
City
State
Zip
29520-7001
Phone Number
843-537-2171
Fax Number
843-537-5926
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
17625 (South Carolina)
Definition
Definition to come...
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