JADE HAZEL PACK NPI 1992511216

NPI Information

  • NPI: 1992511216
  • Provider Name: JADE HAZEL PACK
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 107 SUNSET DR
    MANNING, SC
    ZIP 29102
  • Phone: (803) 435-4447

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NPI Details

Jade Hazel Pack is a family nurse practitioner in Manning, SC. Jade Hazel Pack NPI is 1992511216. 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:

107 SUNSET DR
MANNING, SC
ZIP 29102-904
Phone: (803) 435-4447

The enumeration date for this NPI number is 12/10/2024 and was last updated on 4/3/2025.

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
1163W00000XRegistered Nurse263902SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily29972SOUTH CAROLINAYes

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: 11/21/2025

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