Jacquelyn Marie Jackson

NPI 1366627002 - Home Health Aide - 374U00000X

NPI Details
NPI 1366627002
Gender Female
Enumeration Date 12/31/2007
Last Updated 12/31/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
1609 HIWAY 41
MT PLEASANT SC, 29464, US
Phone (843) 870-1839
Fax
Business Location
PO BOX 2522
MT PLEASANT SC, 29464, US
Phone (843) 870-1839
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number 120514E
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According to our database, Mrs. Jacquelyn Marie Jackson NPI is 1366627002, taxonomy code is 374U00000X and license number is 120514E, license state is located at . Jacquelyn Marie Jackson physically located at 1609 Hiway 41, Mt Pleasant SC, 29464. NPI Number Jacquelyn Marie Jackson has the Individual type.

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1366627002 NPI number is provided on an as is basis without warranty of any kind. 1366627002 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelyn Marie Jackson are for informational purposes only.