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Organization

EDNA C JACKSON INSTITUTE OF HEALTHCARE EDUCATION

Active
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Organization

EDNA C JACKSON INSTITUTE OF HEALTHCARE EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NOVELLA Y JACKSON (ADMINISTRATOR)
(803) 878-2478
Entity
Organization

Contact information

Practice address
968 DANTZLER ST, ORANGEBURG, SC 29115-4322
(803) 809-0003
(803) 809-0004
Mailing address
968 DANTZLER ST, ORANGEBURG, SC 29115-4322
(803) 809-0003
(803) 809-0004

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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