person
Chanelle Jackson, APRN
Family Nurse Practitioner in Columbia, South Carolina
NPI 1629510862

Chanelle Jackson is a Family Nurse Practitioner based in West Columbia, SC and is specialized in Family. Chanelle Jackson practices in Columbia, SC and has the professional credentials of APRN. The NPI Number for Chanelle Jackson is 1629510862 and holds a License No. 20603 (South Carolina).

The current practice location address for Chanelle Jackson is 229 Longtown Rd, Columbia, SC and can be reached out via phone at 803-419-4949.

Location: 229 Longtown Rd, Columbia, SC, 29171-6069
person
Provider Profile Details
NPI Number
1629510862
Provider Name
Chanelle Jackson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
229 Longtown Rd, Columbia, SC, 29171-6069
Phone Number
803-419-4949
Fax Number
Provider Enumeration Date
11/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
229 Longtown Rd
City
State
Zip
29229-8550
Phone Number
803-419-4949
Fax Number
person
Provider Business Mailing Address Details
Address
229 Longtown Rd
City
State
Zip
29229-8550
Phone Number
803-419-4949
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20603 (South Carolina)
Definition
Definition to come...
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