Individual provider · Type 1 NPI

Jacquelyn Marie Jackson

Nurse's Aide · Mount Pleasant, SC

NPI number 1366627002 Active

Practice location

1609 Hiway 41
Mount Pleasant, SC 29464

Mailing address

PO Box 2522
Mount Pleasant, SC 29464

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide 374U00000X120514E
Homemaker 376J00000XNone listed
Nurse's Aide Primary 376K00000X120514E

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

About NPI 1366627002

Jacquelyn Marie Jackson's National Provider Identifier is 1366627002, issued on Dec 31, 2007. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Dec 31, 2007.