Individual
MS. NARLENE LUCITA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
753 SIDNEY CORNWELL CT, CATAWBA, SC 29704-7782
(803) 448-0469
Mailing address
753 SIDNEY CORNWELL CT, CATAWBA, SC 29704-7782
(803) 448-0469
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P39095
SC
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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