National Provider Identifier Database

ADRIENNE JACKSON
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

ADRIENNE JACKSON
2005 OLD LAURENS RD
GREENWOOD, SC29649
Phone: 864-735-0768
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for ADRIENNE JACKSON

NPI Number 1629588520
Credentials
Entity Individual
Enumeration date 10/05/2017
Last updated 10/05/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: 4887
Hospital affiliation n/a

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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