IndividualActive
Jacquelyn Jackson
NPI 1366627002 · Nurse's Aide · Mt Pleasant, SC
Provider details
- NPI number
- 1366627002
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 120514E
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Related Providers
- Homemaker376J00000X
Nursing Service Related Providers
Practice location
1609 Hiway 41
Mt Pleasant, SC 29464
Phone: (843) 870-1839
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2522
Mt Pleasant, SC 29464
Registry dates
- Enumerated
- 2007-12-31
- Last updated
- 2007-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.