Jade Hazel Pack
NPI #1992511216 in Manning, South Carolina
Provider Information
- NPI Number
- 1992511216
- Entity Type
- Individual
- Name
- Jade Hazel Pack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Dec 10, 2024
- Last Updated
- Apr 3, 2025
Practice Location
- Address
- 107 SUNSET DR
- City
- Manning
- State
- South Carolina
- ZIP Code
- 29102-2904
- Phone
- (803) 435-4447
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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