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Contact Information

CHARNELE V JACKSON, DNP
1333 TAYLOR ST STE D
COLUMBIA, SC29201-2923
 Phone: 864-455-2455
 Fax: 864-455-2450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARNELE V JACKSON · (Female)

NPI # 1932778107
Status Active
Credentials DNP
Entity Individual
Enumeration date 06/22/2021
Last updated 01/15/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 25444
  • SC License # 542224
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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