Jackson, Victoria

Jackson, Victoria is an sole proprietor health care provider with primary practice located at 920 Laura St , Bowman SC 29018-8612. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hemodialysis, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Hemodialysis is her primary health care specialty. Jackson, Victoria can be contacted via phone (803) 354-1011.

Contact Information

Primary practice address
920 Laura St Bowman SC 29018-8612
Phone: (803) 354-1011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Hemodialysis 163WH0500X 100078 South Carolina
Nursing Service Providers / Registered Nurse 163W00000X 100078 South Carolina

Profile Details

NPI number 1669057121
LBN Legal business name Jackson, Victoria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 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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