Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUNDRA JACKSON
Active Sole ProprietorAUNDRA JACKSON is a Prosthetic/Orthotic Supplier healthcare provider located in COLUMBIA, South Carolina. NPI 1518733278 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · COLUMBIA, SC
Registration Details
- NPI Number
- 1518733278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2023 (2.5063924370726 yrs)
- Last Updated
- Dec 4, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
494 BLUE GARDEN WAYCOLUMBIA, SC, 292238052Browse SC providers · Browse ZIP 29223
- Phone
- 8032711462
- Fax
- 2676338881
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MS. LATOYA SAMUEL | HLPC, RC, RCI | 1497330666 |
| JASMINE ROBERTS | — | 1437825163 |
| TIFFANY OATES | — | 1417663162 |
| MRS. TUNIA L ALBERT | — | 1558133835 |
| MS. JOCELYN T KENNEDY | — | 1295565844 |
| SUMUR WILLIAMS | — | 1467261164 |
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.