Individual provider · Type 1 NPI

Janet Leah Jackson

Registered Nurse · Myrtle Beach, SC

NPI number 1417867169 Active

Practice location

412 Plover Ln
Myrtle Beach, SC 29588-6569

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X0001213767 (VA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1417867169

Janet Leah Jackson's National Provider Identifier is 1417867169, issued on Sep 8, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 8, 2026.