IndividualActive
Novella Jackson
NPI 1619819265 · Health Educator · Orangeburg, SC
Provider details
- NPI number
- 1619819265
- Entity type
- Individual
- Primary specialty
- Health EducatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0000001 (SC)
Specialties & taxonomies
Other Service Providers
Practice location
968 Dantzler St
Orangeburg, SC 29115-4322
Phone: (803) 809-0003
Fax: (803) 809-0004
Approximate (ZIP-level) locationGet directions
Mailing address
968 Dantzler St
Orangeburg, SC 29115-4322
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.