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1588274765
TOMEKA NICHOLE JACKSON
COLUMBIA, SC
NPI
1588274765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 22632)
Enumeration Date
2020-08-03
Last Update Date
2022-03-03
Business Address
TOMEKA NICHOLE JACKSON FNP-C
6156 SAINT ANDREWS RD STE 208
COLUMBIA, SC 29212-3147
Phone number: 803-667-9012
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Mailing Address
TOMEKA NICHOLE JACKSON FNP-C
119 DUTCH VILLAGE DR
IRMO, SC 29063-8718
Phone number: 803-767-0808
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