Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORTIA GOODE JACKSON
Active Sole ProprietorPORTIA GOODE JACKSON is a Transportation Network Company healthcare provider located in TRAVELERS REST, South Carolina. NPI 1265113054 is currently active in the NPPES registry. Verify at CMS.
Transportation Network Company · TRAVELERS REST, SC
Registration Details
- NPI Number
- 1265113054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2023 (3.0695944668575 yrs)
- Last Updated
- Jul 26, 2023
- License
-
01328980 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
887 PINE LOG FORD RDTRAVELERS REST, SC, 296908418Browse SC providers · Browse ZIP 29690
- Phone
- 8034678687
- Primary Specialty
-
Transportation Network Company
342000000X
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.