Charnele Vontese Jackson
DNP | Nurse Practitioner | 6+ years Exp
1333 Taylor St Ste D, Columbia
South Carolina, 29201-2923
864-455-2455
Charnele Vontese Jackson is a Columbia, South Carolina based nurse practitioner with 6 years of experience as Nurse Practitioner. 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 NP in South Carolina. Her current practice location is 1333 Taylor St Ste D, Columbia. Patients can reach her at 864-455-2455 or can fax her at 864-455-2450. Charnele Vontese Jackson is DNP with specialization in Nurse Practitioner 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 |
| Credentials: | DNP |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1333 Taylor St Ste D, Columbia,
South Carolina, 29201-2923 |
| Phone: | 864-455-2455 |
| Fax: | 864-455-2450 |
Professional Identification Codes:
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: | 15 Jan, 2026 |
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 NP | South Carolina | Primary | |
| 25444 | Family Medicine | South Carolina | Secondary | |
| 542224 | Family Medicine | 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
300 E Mcbee Ave Ste 300,
Greenville, South Carolina |
| Zip: | 29601-2899 |
| Phone Number: | 864-522-8603 |
Patients can reach Charnele Vontese Jackson at
1333 Taylor St Ste D, Columbia, South Carolina or can
call to book an appointment on 864-455-2455.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.