Individual provider · Type 1 NPI

Adrenna Jackson, NP

Primary Care Nurse Practitioner · Columbia, SC

NPI number 1912644246 Active

Practice location

5110 Fairfield Rd
Columbia, SC 29203-4323

Mailing address

PO Box 740013
Atlanta, GA 30374-0013

Other practice locations

  • 905 State St, Cayce, SC 29033-4318 · (803) 832-4383

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XRN228470 (GA)
Primary Care Nurse Practitioner Primary 363LP2300X26151 (SC)

Primary Care Nurse Practitioner: Definition to come...

8 other providers at this address

Other primary care nurse practitioner providers in Columbia

See all in Columbia →

About NPI 1912644246

Adrenna Jackson, NP's National Provider Identifier is 1912644246, issued on May 18, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbia, SC. The record was last updated on Jun 20, 2024.