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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUETTA RILEY

Active

JACQUETTA RILEY is a Licensed Practical Nurse healthcare provider located in ORANGEBURG, South Carolina. NPI 1245829928 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ORANGEBURG, SC

Registration Details

NPI Number
1245829928
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2021 (5.5644901261629 yrs)
Last Updated
Jan 15, 2021
License
P47848 (SC)

Practice Information

Address
1550 CAROLINA AVE
ORANGEBURG, SC, 291154944
Browse SC providers · Browse ZIP 29115
Phone
8035335489
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in ORANGEBURG, SC

Name Credential NPI
MRS. BRIDGETT SHAVONNE BURNETT LPN 1134714371
MATIETH NICOLE PRESTON LPN 1649926189
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.