| Chanelle Jackson, APRN | |
|
229 Longtown Rd, Columbia, SC 29229-8550 | |
| (803) 419-4949 | |
| Not Available |
| Full Name | Chanelle Jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 229 Longtown Rd, Columbia, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629510862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20603 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lexington Medical Center | West columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lexington Health Inc | 2567872070 | 905 |
| Entity Name | Wal-mart Stores East LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922415165 PECOS PAC ID: 6204749997 Enrollment ID: O20141024000133 |
| Entity Name | Lexington Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710634753 PECOS PAC ID: 2567872070 Enrollment ID: O20201208000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanelle Jackson, APRN Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 935-8292 | Chanelle Jackson, APRN 229 Longtown Rd, Columbia, SC 29229-8550 Ph: (803) 419-4949 |
Richard Hall Iii, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-6095 Fax: 803-758-0120 |
Dr. Latonya Brailsford, DNP, APRN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 Read St Ste I-4, Columbia, SC 29204 Phone: 843-465-2438 |
Laketa D Riley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Doctor Cir, Columbia, SC 29203 Phone: 800-491-0909 |
Christopher Pride, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: Sc House Calls Inc, 111 Doctors Cir, Columbia, SC 29203 Phone: 800-491-0909 |
Alexcia Nicole James, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Sc House Calls, Inc, 111 Doctors Cir, Columbia, SC 29203 Phone: 800-491-0909 |
Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129 |
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496 |