Jackson, Charnele Vontese

Jackson, Charnele Vontese is an sole proprietor health care provider with primary practice located at 105 N Magnolia St , Sumter SC 29150-4941. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Charnele Vontese can be contacted via phone (803) 934-2806.

Contact Information

Primary practice address
105 N Magnolia St Sumter SC 29150-4941
Phone: (803) 934-2806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 227658 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 25444 South Carolina

Profile Details

NPI number 1932778107
LBN Legal business name Jackson, Charnele Vontese
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2021
Last updated Sep 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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