NPI 1386322634

Cradeja Shovon Jackson

Practitioner Home Health Aide Florence, SC

Practice location

Address: 715 King Ave, Florence, SC 29501-4332
Phone: (843) 319-7055

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in South Carolina →

Registry record

NPI: 1386322634
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2023
Record last updated: 7 Jul 2023

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.