Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRENDA JEAN JACKSON
Active Sole ProprietorMRS. BRENDA JEAN JACKSON is a Podiatric Surgery healthcare provider located in NEW AIKEN, South Carolina. NPI 1538653498 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · NEW AIKEN, SC
Registration Details
- NPI Number
- 1538653498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2018 (8.1886586634672 yrs)
- Last Updated
- Jul 23, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
807 DILLON AVENEW AIKEN, SC, 29801Browse SC providers · Browse ZIP 29801
- Phone
- 7067261531
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.