Individual provider · Type 1 NPI

Tamiko Jackson

Family Nurse Practitioner · Myrtle Beach, SC

NPI number 1063875474 Active

Practice location

920 Doug White Dr Ste 510
Myrtle Beach, SC 29572-4183

Fax (843) 848-7530

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X20057 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1063875474

Tamiko Jackson's National Provider Identifier is 1063875474, issued on Apr 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 27, 2022.