Narlene Lucita Jackson, LPN
Individual provider Active NPI Licensed Practical Nurse · Catawba, SC
NPI 1114230646 · NPPES record last updated Jul 26, 2010
Key facts
- NPI
- 1114230646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- P39095 (SC)
- Practice address
- 753 Sidney Cornwell CT
Catawba, SC 29704-7782 - Phone
- (803) 448-0469
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P39095 | SC | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P39095 | SC | Yes |
Addresses
Primary practice location
753 Sidney Cornwell CT
Catawba, SC 29704-7782
Mailing address
753 Sidney Cornwell CT
Catawba, SC 29704-7782
Phone (803) 448-0469
Other providers in Catawba, SC
- 24/7 Above & Beyond Home Care LLC
- Crossroads at Catawba, LLC
- Patricia L Farrar
- Christopher L. Johnson
- Sheena Locklear
- Henrietta McCollough
All providers in Catawba, SC · Licensed Practical Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.