Individual
MEGAN KAYLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 TRAVELERS BLVD, SUMMERVILLE, SC 29485-8213
(864) 593-9996
Mailing address
PO BOX 1059, LYMAN, SC 29365-0667
(864) 593-9996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2172986
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
8441
MN
Other
Enumeration date
07/09/2020
Last updated
12/23/2025
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