ADRIENNE JACKSON


Address: 2005 Old Laurens Rd, Greenwood, SC 29649
Phone: 8647350768

ADRIENNE JACKSON (NPI# 1629588520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629588520
Entity Type Individual
Full Name ADRIENNE JACKSON
Other Name ADRIENNE JACKSON
Practice Address 2005 Old Laurens Rd
Greenwood
SC 29649
Mailing Address 2005 Old Laurens Rd
Greenwood
SC 29649-9235
Practice Telephone 8647350768
Enumeration Date 2017-10-05
Last Update Date 2017-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist 4887 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ADRIENNE JACKSON

NPI Name Taxonomy Address Enumeration
1679609036 Adrienne Mcgahee Jackson Counselor 122 Cherry St., Marietta, GA 30060 2007-02-27
1679105928 Adrienne Jackson Behavior Technician 116 W Piccadilly St Ste 12, Winchester, VA 22601-3956 2020-02-05
1487199881 Adrienne Ann Jackson Nurse Practitioner 2620 Elm Hill Pike, Nashville, TN 37214-3108 2016-12-21
1952702698 Adrienne Jackson Speech-Language Pathologist 160 S Hollywood St, Memphis, TN 38112-4801 2014-09-12
1700129939 Adrienne Lee Jackson Pharmacist 5050 E Arapahoe Rd, Littleton, CO 80122-2302 2013-04-06

Office Location

Street Address 2005 OLD LAURENS RD
City GREENWOOD
State SC
Zip Code 29649

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346895455 Prathamkumar Rakeshkumar Patel Pharmacist 508 By-pass 72 Northwest, Greenwood, SC 29649 2019-08-06
1821650284 Lindsay Kay Fuqua Dentist 1302 Sc-72 Business, Greenwood, SC 29649 2019-07-05
1457830291 Stephanie Dixon Speech-Language Pathologist 1075 Bypass 25 Ne, Greenwood, SC 29649 2018-08-13
1891286613 Tylan Creek Family Dentistry Greenwood Clinic/Center 3710 Highway 221- 72e, Greenwood, SC 29649 2018-05-29
1225549090 Tekola Moore Registered Nurse 150 By-pass 225, Greenwood, SC 29649 2017-10-19
1982141115 Debras Hair Studio LLC Prosthetic/Orthotic Supplier 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 2017-01-25
1225406960 Jim Nasim Dentist 101 West Durst Avenue, Greenwood, SC 29649 2015-09-11
1174905806 Social Change Initiative Case Management 1402 C Hwy 72 West, Greenwood, SC 29649 2015-06-18
1346661683 Cambridge Dental of Greenwood, LLC Clinic/Center 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 2014-01-03
1538419080 James Self Corley IIi Pharmacist 1302 Hwy 72-221 East, Greenwood, SC 29649 2012-09-12
Find all providers in zip 29649

Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932723947 Jonica D Richardson Prosthetist 417 Grand National Ln, Elgin, SC 29045-7113 2020-06-04
1700449964 Nicole D Jennings Prosthetist 920 Saint Andrews Rd Ste 2&3, Columbia, SC 29210-5816 2019-04-15
1013465756 Marquetta Breslin Prosthetist 125 Salt Meadow Ln, Summerville, SC 29483-5334 2016-09-12
1457721839 Richard Goodman II Prosthetist 386 Rutt Ln, Goose Creek, SC 29445-7808 2015-09-29
1699153775 Lisa Burks Prosthetist 4026 Ashley Phosphate Rd, Charleston, SC 29418-8547 2015-05-11
1548308695 Alvin W. Pickering Prosthetist 230 Elliott St, Orangeburg, SC 29115-6022 2007-02-01
1114486529 Clarissa Rose Prosthetist 950 W Faris Rd, Greenville, SC 29605-4255 2019-03-15
1275807174 Brian Kaluf Prosthetist 10 Enterprise Blvd, Suite 206, Greenville, SC 29615-6301 2012-02-24

Competitor

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City GREENWOOD
Zip Code 29649

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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