| Jade Hazel Pack, | |
|
107 Sunset Dr, Manning, SC 29102-2904 | |
| (803) 435-4447 | |
| Not Available |
| Full Name | Jade Hazel Pack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 107 Sunset Dr, Manning, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992511216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 263902 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 29972 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Hazel Pack, 1615 Zoar Church Rd, Sumter, SC 29153-9180 Ph: (803) 464-8697 | Jade Hazel Pack, 107 Sunset Dr, Manning, SC 29102-2904 Ph: (803) 435-4447 |
Gina G Wilson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1013 Professional Ct, Manning, SC 29102 Phone: 803-433-7444 Fax: 803-433-7448 | |
Amber Nicole Ballentine, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 22 Bozard St, Manning, SC 29102 Phone: 803-435-8828 Fax: 803-435-2239 | |
Ms. Tammy Wynette Plemons, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-433-3000 | |
Patricia Levonnie Barrineau, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 W South St, Manning, SC 29102 Phone: 803-433-4321 Fax: 803-433-0075 | |
Charles E. Godwin Iii, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 6, Manning, SC 29102 Phone: 803-433-3065 Fax: 803-433-0135 | |
Ann Marie Norton, RN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-433-3000 | |
Mrs. Susanne P Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 E Hospital St Ste 3, Manning, SC 29102 Phone: 803-435-8828 Fax: 803-435-2239 |