Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANELLA JACKSON, RN
Active Sole ProprietorJANELLA JACKSON, RN is a In Home Supportive Care Agency healthcare provider located in NORTH MYRTLE BEACH, South Carolina. NPI 1215561865 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · NORTH MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1215561865
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 22, 2020 (6.288968088578 yrs)
- Last Updated
- Aug 20, 2020
- License
-
ICPH-1221 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
NORTH MYRTLE BEACH BUSINESS CENTER SUITE 1151019 HWY 17SNORTH MYRTLE BEACH, SC, 29582Browse SC providers · Browse ZIP 29582
- Phone
- 8432735022
- Fax
- 8432735022
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.