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DR. ANGENIQUE GLORIANN JACKSON D.C.
NPI 1023513363
Chiropractor in Fort Mill, SC

Active since March 28, 2018
1171 MARKET ST STE 112, FORT MILL, SC 29708(803) 802-7799 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angenique Gloriann Jackson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGENIQUE GLORIANN JACKSON D.C. (NPI 1023513363) is an individual chiropractor in Fort Mill, South Carolina, licensed in South Carolina (4320) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1023513363
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANGENIQUE GLORIANN JACKSONCredential: D.C.
Location Address1171 MARKET ST STE 112Fort Mill, SC 29708-6502
Mailing Address316 Inland Cove CtClover, SC 29710-8071
Phone(803) 802-7799
Sole ProprietorNo
Enumeration DateMarch 28, 2018
✔ NPI 1023513363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 4320
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1171 MARKET ST STE 112, Fort Mill, SC 29708
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Other Names 1

Former Name (1)Angenique Gloriann Dejesus

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY ILIFF JR. LAC
Acupuncturist
1171 MARKET ST STE 112
FORT MILL, SC 29708
York County (803) 802-7799
PRIVATE HEALTHCARE FACILITIES
Clinic/Center (Birthing)
1171 MARKET ST STE 112
FORT MILL, SC 29708
York County (866) 996-2340
COMMUNITY BIRTH GROUP
General Acute Care Hospital
1171 MARKET ST STE 112
FORT MILL, SC 29708
York County (800) 341-8598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angenique Jackson's NPI number?

The NPI number for Angenique Jackson is 1023513363. It was assigned to this individual provider in the NPPES registry on March 28, 2018. The provider is also known as Angenique Gloriann Dejesus.

Where is Angenique Jackson located?

Angenique Jackson practices at 1171 Market St Ste 112, Fort Mill, SC 29708. The listed phone number is (803) 802-7799.

What is Angenique Jackson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Angenique Jackson was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.