SearchSouth CarolinaPsychiatric/Mental Health Registered Nurse

Larry Jackson, REGISTERED NURSE

NPI 1093878191 · on the registry since 2006 · sole proprietor

Practice

Address
615 Rapids Rd
Columbia, SC 29212
Phone
(803) 798-2211

Registry record

Primary taxonomy
Psychiatric/Mental Health Registered Nurse
163WP0808X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina