Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALICIA MARIE JACKSON, MED
ActiveALICIA MARIE JACKSON, MED is a Community Health Worker healthcare provider located in CONWAY, South Carolina. NPI 1861072324 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CONWAY, SC
Registration Details
- NPI Number
- 1861072324
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2021 (5.315240852185 yrs)
- Last Updated
- Apr 9, 2021
Practice Information
- Address
-
164 WACCAMAW MEDICAL PARK DRCONWAY, SC, 295268903Browse SC providers · Browse ZIP 29526
- Phone
- 8433475060
- Fax
- 8433473959
- Primary Specialty
-
Community Health Worker
172V00000X
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.