person
Charnele Vontese Jackson
Family Nurse Practitioner in Sumter, South Carolina
NPI 1932778107

Charnele Vontese Jackson is a Family Nurse Practitioner based in Sumter, SC and is specialized in Family. Charnele Vontese Jackson practices in Sumter, SC. The NPI Number for Charnele Vontese Jackson is 1932778107 and holds a License No. 227658 (South Carolina).

The current practice location address for Charnele Vontese Jackson is 105 N Magnolia St, Sumter, SC and can be reached out via phone at 803-934-2806. You can also correspond with Charnele Vontese Jackson through the mailing address at 1712 NICHOLAS DR, SUMTER, SC - 29154-7909 (mailing address contact number: 803-316-4581).

Location: 105 N Magnolia St, Sumter, SC, 29154-7909
person
Provider Profile Details
NPI Number
1932778107
Provider Name
Charnele Vontese Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
105 N Magnolia St, Sumter, SC, 29154-7909
Phone Number
803-934-2806
Fax Number
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
105 N Magnolia St
City
State
Zip
29150-4941
Phone Number
803-934-2806
Fax Number
person
Provider Business Mailing Address Details
Address
105 N Magnolia St
City
State
Zip
29150-4941
Phone Number
803-934-2806
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
25444 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
227658 (South Carolina)
Definition
Definition to come...
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