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Contact Information

JANELLA JACKSON, RN
NORTH MYRTLE BEACH BUSINESS CENTER SUITE 115
1019 HWY 17S
NORTH MYRTLE BEACH, SC29582
 Phone: 843-273-5022
 Fax: 843-273-5022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for JANELLA JACKSON · (Female)

NPI # 1215561865
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/22/2020
Last updated 08/20/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # ICPH-1221
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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