Individual provider · Type 1 NPI
Michaela L. Jackson, A.T.C
Student in an Organized Health Care Education/Training Program · Clinton, SC
NPI number
1154873057
Active
Practice location
105 Ashland Ave
Clinton, SC 29325-2960
Mailing address
3201 Woodhaven Ct SW
Conyers, GA 30094-3951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4 other providers at this address
Other student in an organized health care education/training program providers in Clinton
- Jacob Harrison CannonStudent in an Organized Health Care Education/Training Program Clinton, SC NPI 1194440750
- Mason Paige GambrellStudent in an Organized Health Care Education/Training Program Clinton, SC NPI 1295353100
- Elexus Jaide Hightower-WilsonStudent in an Organized Health Care Education/Training Program Clinton, SC NPI 1366379844
About NPI 1154873057
Michaela L. Jackson, A.T.C's National Provider Identifier is 1154873057, issued on Oct 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clinton, SC. The record was last updated on Oct 27, 2016.