HILARY M JACKSON


Address: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847
Phone: 8039358410

HILARY M JACKSON (NPI# 1851773147) 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) 1851773147
Entity Type Individual
Full Name HILARY M JACKSON
Credential NP-C
Practice Address 222 E Medical Ln Ste 100&200
West Columbia
SC 29169-4847
Mailing Address Po Box 6069
West Columbia
SC 29171-6069
Practice Telephone 8039358410
Practice Fax Number 8039367816
Enumeration Date 2015-06-23
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 209700 SC Nursing Service Providers
Y 363L00000X Nurse Practitioner 19561 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP4162 05

Office Location

Street Address 222 E MEDICAL LN STE 100&200
City WEST COLUMBIA
State SC
Zip Code 29169-4847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538141973 Andrew John Palmer Physician Assistant 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2005-11-18
1376141481 Lexington Health Inc Physical Medicine & Rehabilitation 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2020-10-12
1720621113 Joseph Ryan Sturkie Physician Assistant 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2019-10-18
1336663301 Anne Marie Ashley Physical Therapist 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2017-08-01
1396296604 Rebekah Leigh O'dell Physician Assistant 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2016-10-21
1346794732 Gary Alan Benda Jr. Physician Assistant 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2016-08-15
1790116028 Megan Boykin Tolar Nurse Practitioner 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2013-12-12
1003255548 Nathan Chadwick Davis Neurological Surgery 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2013-06-18
1477816668 Melissa Michelle Blackmon Nurse Practitioner 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2012-06-21
1982830568 Christopher Carlton Hooks Physician Assistant 222 E Medical Ln Ste 100&200, West Columbia, SC 29169-4847 2009-06-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457960726 Jerry Scott Oreilly Physical Therapy Assistant 100 Dreher Rd, Suite 100, West Columbia, SC 29169 2020-07-23
1134759921 A&m Medical, LLC Durable Medical Equipment & Medical Supplies 1053 Sunset Boulevard, West Columbia, SC 29169 2020-01-21
1750946067 First Physical Therapy, LLC Clinic/Center 100 Dreher Rd., Suite 100, West Columbia, SC 29169 2019-05-02
1295217545 Tynaka Kwans Wilson Nurse Practitioner Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 2018-09-04
1588183826 Kimberly Jane Jennings Registered Nurse 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2017-09-19
1164943213 Jacob Luke Wayland Emergency Medicine Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 2017-06-29
1740721232 Heather Detwiler Physical Therapy Assistant 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 2017-03-16
1588110761 Virginia I Hall Nurse Practitioner 2720 Susnet Blvd, West Columbia, SC 29169 2016-08-29
1215395744 Stacey Khalifa Social Worker 160 Medical Cir Fl 1, West Columbia, SC 29169 2016-01-28
1407252331 Sandy Frye Boone Counselor 2318 Sunset Blvd # 2a, West Columbia, SC 29169 2014-11-04
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376675108 Theresa B Prince Nurse Practitioner 111 Medical Ln E, West Columbia, SC 29169-4813 2007-03-09
1568572139 Janice H Morrow Nurse Practitioner 524 Charity Ln, West Columbia, SC 29170-1043 2006-08-30
1598729709 Peggy S Collins Nurse Practitioner 2705 Leaphard Road, Agape Senior Primary Care, Inc., Dba Agape Physicians C, West Columbia, SC 29169 2006-04-14
1538779178 Kerrera Charnay Tindal Nurse Practitioner 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2020-08-07
1831718550 Brittany Liles Howard Nurse Practitioner 1053 Center St, West Columbia, SC 29169-6749 2020-04-13
1043845571 Amy C Romine Nurse Practitioner 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 2020-03-04
1952934473 Katrina Denise Middleton Nurse Practitioner 1053 Center St, West Columbia, SC 29169-6749 2020-02-13
1700418688 Casey Lynn Spencer Nurse Practitioner 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2020-02-07
1215569462 Calvin Drew Beckwith Nurse Practitioner 1053 Center St, West Columbia, SC 29169-6749 2020-02-05
1376181495 Lance Garris Nurse Practitioner 1053 Center Street, Sc House Calls Inc, West Columbia, SC 29169 2019-12-19
Find all providers in WEST COLUMBIA

Competitor

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City WEST COLUMBIA
Zip Code 29169

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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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