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Adrenna Jackson, NP — NPI 1912644246, Columbia, SC | NPI Central

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NPI 1912644246

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Adrenna Jackson, NP

NPI 1912644246 · Primary Care Nurse Practitioner · Columbia, SC

Provider details

NPI number: 1912644246
Entity type: Individual
Primary specialty: Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP
Sex: Female
Sole proprietor: No
License: RN228470 (GA)

Specialties & taxonomies

Primary Care Nurse PractitionerPrimary363LP2300XLicense 26151 (SC)
Physician Assistants & Advanced Practice Nursing Providers
Primary Care Nurse Practitioner363LP2300XLicense RN228470 (GA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

5110 Fairfield Rd

Columbia, SC 29203-4323

Phone: (803) 893-7019

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

Po Box 740013

Atlanta, GA 30374-0013

Additional practice locations (1)

905 State St
Cayce, SC 29033-4318
Phone: (803) 832-4383

Registry dates

Enumerated: 2022-05-18
Last updated: 2024-06-20
Certified: 2024-06-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.