ERIN MIRANDA JACKSON FNP
NPI 1174961551
Nurse Practitioner - Family in Columbia, SC

Active since June 07, 2013
4500 STUART ST, COLUMBIA, SC 29207(309) 360-5141 Get Directions Write a Review

NPPES record last updated: June 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erin Miranda Jackson Fnp NPPES

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

ERIN MIRANDA JACKSON FNP (NPI 1174961551) is an individual family provider in Columbia, South Carolina, licensed in Illinois (041347034) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1174961551
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERIN MIRANDA JACKSONCredential: FNP
Location Address4500 STUART STColumbia, SC 29207-5700
Mailing Address14908 Mcknew RdBurtonsville, MD 20866-1339 · (309) 360-5141
Sole ProprietorNo
Enumeration DateJune 7, 2013
NPI 1174961551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 041347034
4500 STUART ST, Columbia, SC 29207

Other Providers at the Same Location NPPES 20

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

Physical Therapist
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL / CREDENTIALS
COLUMBIA, SC 29207
Nurse Practitioner (Acute Care)
4500 STUART ST
COLUMBIA, SC 29207
Registered Nurse (Community Health)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS
COLUMBIA, SC 29207
Physician Assistant (Medical)
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207
Physician Assistant
4500 STUART ST, MONCRIEF ARMY HOSPITAL/ CREDENTIALS
COLUMBIA, SC 29207
Nurse Practitioner (Family)
4500 STUART ST
COLUMBIA, SC 29207
Military Hospital
4500 STUART ST
COLUMBIA, SC 29207
Ophthalmology
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL
COLUMBIA, SC 29207

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 Erin Jackson's NPI number?

The NPI number for Erin Jackson is 1174961551. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Erin Jackson located?

Erin Jackson practices at 4500 Stuart St, Columbia, SC 29207. The listed phone number is (309) 360-5141.

What is Erin Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Erin Jackson was last updated on June 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.