Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE P. STAFFORD, DNP
ActiveJACKIE P. STAFFORD, DNP is a Adult Health Nurse Practitioner healthcare provider located in CHERAW, South Carolina. NPI 1609150622 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · CHERAW, SC
Registration Details
- NPI Number
- 1609150622
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2011 (14.81961270932 yrs)
- Last Updated
- Feb 22, 2021
- License
-
17625 (SC)
Practice Information
- Address
-
710 CHESTERFIELD HWYCHERAW, SC, 295207001Browse SC providers · Browse ZIP 29520
- Phone
- 8435372171
- Fax
- 8435375926
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
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.