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Search › South Carolina › Independent Duty Corpsman

Keelan Jackson

NPI 1790449882 · on the registry since 2021

Practice

Address
670 Boulevard De France
Parris Island, SC 29905
Phone
(843) 228-4757
Clinicians at this address
15

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-04

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