NPI 1043710189
Sophia Jackson
Practice location
- Address
- 816 S Garrison Rd, Simpsonville, SC 29680-6818
- Phone
- (864) 356-4928
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1043710189
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Feb 2018
- Record last updated
- 15 Feb 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.