JACKSON LANE MCRAE (NPI# 1962023697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962023697 |
| Entity Type | Individual |
| Full Name | JACKSON LANE MCRAE |
| Credential | RN, BSN |
| Practice Address |
305 Russell St Darlington SC 29532-3304 |
| Practice Telephone | 8433984400 |
| Practice Fax Number | 8433984418 |
| Mailing Telephone | 8433984400 |
| Mailing Fax Number | 8433984418 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
232265 | SC | Nursing Service Providers |
| Street Address |
305 RUSSELL ST |
| City | DARLINGTON |
| State | SC |
| Zip Code | 29532-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326075607 | Cathy M Gregory | Nurse Practitioner | 305 Russell St, Darlington, SC 29532-3323 | 2006-06-26 |
| 1326587387 | Shankana Johnson | Registered Nurse | 305 Russell St, Darlington, SC 29532-3323 | 2017-02-22 |
| 1063959336 | Katrina Douglas | Registered Nurse | 305 Russell St, Darlington, SC 29532-3323 | 2017-01-25 |
| 1538585492 | Brittainy Starling | Registered Nurse | 305 Russell St, Darlington, SC 29532-3323 | 2014-03-14 |
| 1669898516 | Kathy Smith | Registered Nurse | 305 Russell St, Darlington, SC 29532-3323 | 2014-03-14 |
| 1396820650 | State of South Carolina | Public Health or Welfare | 305 Russell St, Darlington, SC 29532-3323 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164877189 | Wal-mart Stores East, Lp | Technician/Technologist | 251 Andover Place, Darlington, SC 29532 | 2016-04-27 |
| 1508299900 | Pastoral Compassionate Care | Home Health | 912 Pearl St., Darlington, SC 29532 | 2013-08-21 |
| 1891045225 | Stacey Dionne Willoughby | Pharmacist | 102 Express Lane, Darlington, SC 29532 | 2012-09-13 |
| 1174854558 | James D Mcinnis | Family Medicine | 201 Cashua Street, Darlington, SC 29532 | 2010-01-25 |
| 1790966836 | Dawson and Dawson Family Dentistry | Dentist | 520 S. Main St, Darlington, SC 29532 | 2007-11-16 |
| 1831282375 | Clifton M Wilson | Dentist | 103 Planters Dr, Darlington, SC 29532 | 2006-10-02 |
| 1376655100 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 1018 S Governor Williams Hwy, Darlington, SC 29532 | 2006-08-31 |
| 1144243502 | South Carolina Baptist Ministries for The Aging Inc | Skilled Nursing Facility | 157 Home Ave, Darlington, SC 29532 | 2006-07-26 |
| 1487610200 | Pee Dee Healthcare Pa | Clinic/Center | 201cashua Street, Darlington, SC 29532 | 2006-04-21 |
| 1306805114 | Askins Baker Perry | Dentist | 110 Cherry St, Darlington, SC 29532 | 2006-03-21 |
| Find all providers in zip 29532 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326587387 | Shankana Johnson | Registered Nurse | 305 Russell St, Darlington, SC 29532-3323 | 2017-02-22 |
| 1063959336 | Katrina Douglas | Registered Nurse | 305 Russell St, Darlington, SC 29532-3323 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | DARLINGTON |
| Zip Code | 29532 |
Please comment or provide details below to improve the information on JACKSON LANE MCRAE.
| 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.