Charnele Vontese Jackson is a Sumter, South Carolina based nurse practitioner with 5 years of experience in . She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charnele Vontese Jackson is 25444 for Family in South Carolina. Her current practice location is 105 N Magnolia St, Sumter. Patients can reach her at 803-934-2806 and her NPI number (Unique professional ID assigned by NPPES) is 1932778107. Charnele Vontese Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Charnele Vontese Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Charnele Vontese Jackson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2020
Accepts Medicare Assignment:
Yes
Practice Address:
105 N Magnolia St, Sumter, South Carolina, 29150-4941
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9537566120
Enrollment ID:
I20210924000034
NPI Number:
1932778107
NPI Enumeration Date:
22 Jun, 2021
NPI Last Update On:
27 Sep, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charnele Vontese Jackson are as mentioned below.
License Number
Specialization
State
Status
25444
Family
South Carolina
Primary
227658
Registered Nurse
South Carolina
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Charnele Vontese Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Elite Patient Care Of South Carolina Pc (1951672617)
80
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Charnele Vontese Jackson 1712 Nicholas Dr, Sumter, South Carolina
Zip:
29154-7909
Phone Number:
803-316-4581
Patients can reach Charnele Vontese Jackson at 105 N Magnolia St, Sumter, South Carolina or can call to book an appointment on 803-934-2806.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.