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Search › South Carolina › Pediatric Nurse Practitioner

Shana Jackson, CPNP-PC

NPI 1730786641 · on the registry since 2020

Practice

Address
206 Centre South Blvd
Aiken, SC 29803
Phone
(803) 642-9204
Organisation at this address
Southside Pediatrics Of Aiken, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Pediatric Nurse Practitioner
363LP0200X
Also registered as
Pediatric Registered Nurse
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-29

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