Individual provider · Type 1 NPI
Victoria Jackson
Hemodialysis Registered Nurse · Bowman, SC
NPI number
1669057121
Active
Practice location
920 Laura St
Bowman, SC 29018-8612
Mailing address
PO Box 643
Bowman, SC 29018-0643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hemodialysis Registered Nurse Primary | 163WH0500X | 100078 (SC) |
| Registered Nurse | 163W00000X | 100078 (SC) |
Hemodialysis Registered Nurse: Definition to come...
About NPI 1669057121
Victoria Jackson's National Provider Identifier is 1669057121, issued on Mar 16, 2021. The primary taxonomy on file is Hemodialysis Registered Nurse (163WH0500X), and the practice location is in Bowman, SC. The record was last updated on Mar 16, 2021.