Individual provider · Type 1 NPI

Jacquetta Riley

Licensed Practical Nurse · Orangeburg, SC

NPI number 1245829928 Active

Practice location

1550 Carolina Ave
Orangeburg, SC 29115-4944

Call (803) 533-5489 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XP47848 (SC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1245829928

Jacquetta Riley's National Provider Identifier is 1245829928, issued on Jan 15, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Orangeburg, SC. The record was last updated on Jan 15, 2021.