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Contact Information

JOHN JACKSON, RN
3600 RIVERS AVE
NORTH CHARLESTON, SC29405-7747
 Phone: 843-743-7868
 Fax: 843-743-7521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

163WX0106X
Indicates primary specialty

NPI Profile & details for JOHN JACKSON · (Male)

NPI # 1851530539
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/19/2009
Last updated 02/19/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1113323
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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