MR. LARRY JACKSON, REGISTERED NURSE

Registered Nurse - Psychiatric/Mental Health

Active Individual
NPI: 1093878191

Practice Address

615 RAPIDS RD
Columbia, SC 29212

Phone: (803) 798-2211

Specialties

Specialty Code Primary License
Registered Nurse - Psychiatric/Mental Health 163WP0808X Yes 56879 (SC)

Frequently Asked Questions

NPI 1093878191 is the National Provider Identifier for MR. LARRY JACKSON, REGISTERED NURSE, a Registered Nurse - Psychiatric/Mental Health provider located in Columbia, SC. This NPI was enumerated on December 19, 2006.
MR. LARRY JACKSON, REGISTERED NURSE practices at 615 RAPIDS RD, Columbia, SC 29212.

Quick Facts

NPI
1093878191
Type
Individual
Enumerated
Dec 19, 2006
Last Updated
Jul 8, 2007

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