Janice Denise Jackson

NPI #1053139360 in Columbia, South Carolina

Provider Information

NPI Number: 1053139360
Entity Type: Individual
Name: Janice Denise Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 26, 2024
Last Updated: Oct 26, 2024

Practice Location

Address: 1601 GREENE ST
City: Columbia
State: South Carolina
ZIP Code: 29208-4001
Phone: (803) 777-7412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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