Individual
MRS. ALLISON GINETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 N OKATIE HWY # 170, RIDGELAND, SC 29936-8276
(843) 987-7400
Mailing address
40 CAROLINA VILLAGE CIR, BEAUFORT, SC 29906-6790
(803) 983-1097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18321
SC
Other
Enumeration date
06/18/2013
Last updated
03/12/2020
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