Individual
SHOLONDA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
145 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 661-4825
Mailing address
3134 WEST CT, FLORENCE, SC 29505-7416
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
96164
SC
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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