ADRENNA JACKSON NP NPI 1912644246

NPI Information

NPI: 1912644246
Provider Name: ADRENNA JACKSON, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
21 GATEWAY CORNERS PARK STE 101
COLUMBIA, SC
ZIP 29203
Phone: (803) 865-2122
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Adrenna Jackson, NP is a primary care nurse practitioner in Columbia, SC. Adrenna Jackson, NP NPI is 1912644246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 GATEWAY CORNERS PARK STE 101
COLUMBIA, SC
ZIP 29203-906
Phone: (803) 865-2122

The enumeration date for this NPI number is 5/18/2022 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	RN228470	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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