MRS. Stacey A Jackson, REGISTERED NURSE
NPI #1023831104 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1023831104
- Entity Type
- Individual
- Name
- MRS. Stacey A Jackson, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Nov 6, 2024
- Last Updated
- Nov 8, 2024
Practice Location
- Address
- 101 MCLEOD HEALTH BLVD STE 101
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-4477
- Phone
- (843) 646-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
| Registered Nurse |
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