Organization Active NPI

Edna C Jackson Institute of Healthcare Education

  • Student in an Organized Health Care Education/Training Program
  • Orangeburg, SC
National Provider Identifier
1750223327
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
EDNA C JACKSON INSTITUTE OF HEALTHCARE EDUCATION
Practice address
968 Dantzler St
Orangeburg, SC 29115-4322
Phone
(803) 809-0003
Fax
(803) 809-0004
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Novella Y JacksonNPI 1619819265
Title
Administrator
Phone
(803) 878-2478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

968 Dantzler St
Orangeburg, SC 29115-4322

Mailing address

968 Dantzler St
Orangeburg, SC 29115-4322
Phone (803) 809-0003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1750223327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154322",
            "telephone_number": "803-809-0003",
            "fax_number": "803-809-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 DANTZLER ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154322",
            "telephone_number": "803-809-0003",
            "fax_number": "803-809-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA C JACKSON INSTITUTE OF HEALTHCARE EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NOVELLA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-878-2478",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.