Individual
HALEY MEHARG JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1920 2ND LOOP RD, FLORENCE, SC 29501-6123
(843) 432-3700
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
21336
SC
Other
Enumeration date
09/27/2017
Last updated
07/14/2022
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