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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JADE HAZEL PACK

Active

JADE HAZEL PACK is a Family Nurse Practitioner healthcare provider located in MANNING, South Carolina. NPI 1992511216 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · MANNING, SC

Registration Details

NPI Number
1992511216
Provider Type
Individual
Gender
Female
NPI Issued
Dec 10, 2024 (1.6602563212055 yrs)
Last Updated
Apr 3, 2025
Licenses
263902 (SC)
29972 (SC)

Practice Information

Address
107 SUNSET DR
MANNING, SC, 291022904
Browse SC providers · Browse ZIP 29102
Phone
8034354447
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in MANNING, SC

Name Credential NPI
GAYE MOORE DOUGLAS FNP 1396719258
GINA G WILSON FNP 1073581047
MISS SUSAN EDITH CAULKINS MSN, APRN, BC 1518160431
MRS. SUSANNE P JOHNSON FNP 1205069770
PATRICIA LEVONNIE BARRINEAU FNP 1184928749
AUSTRALIA VAN DYKE GREENE NP-C 1346600780
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.