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JACQUETTA RILEY
NPI 1245829928
Licensed Practical Nurse in Orangeburg, SC

Active since January 15, 2021
1550 CAROLINA AVE, ORANGEBURG, SC 29115(803) 533-5489 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacquetta Riley NPPES

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

JACQUETTA RILEY (NPI 1245829928) is an individual licensed practical nurse in Orangeburg, South Carolina, licensed in South Carolina (P47848) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1245829928
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJACQUETTA RILEY
Location Address1550 CAROLINA AVEOrangeburg, SC 29115-4944
Mailing Address1550 Carolina AveOrangeburg, SC 29115-4944 · (803) 533-5489
Phone(803) 533-5489
Sole ProprietorNo
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 14, 2021
✔ NPI 1245829928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in SC · P47848
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1550 CAROLINA AVE, Orangeburg, SC 29115
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Other Identifiers 2

Other0511SCSC · Vaccinating
Other0000000

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.

YVETTE JEFFRIES LMSW
Social Worker
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 268-5810
MRS. KATHRYN ZEIGLER GRAMLING RN MSN
Registered Nurse (Community Health)
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 268-5774
SOUTH CAROLINA DHEC
Public Health or Welfare
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 533-7116
S.C. DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Pharmacy
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 536-9060
ANGELA HUTTO RN
Registered Nurse
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 268-5744
DR. MARY HELEN NIEMEYER M.D.
Family Medicine
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 533-7116
THELMA LAURETTA SHULER APRNBC WHNP
Nurse Practitioner (Women's Health)
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 533-7121
HEATHER ANTLEY MOUNT
Clinic/Center (Public Health, State or Local)
1550 CAROLINA AVE
ORANGEBURG, SC 29115
Orangeburg County (803) 533-5480

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 Jacquetta Riley's NPI number?

The NPI number for Jacquetta Riley is 1245829928. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Jacquetta Riley located?

Jacquetta Riley practices at 1550 Carolina Ave, Orangeburg, SC 29115. The listed phone number is (803) 533-5489.

What is Jacquetta Riley's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jacquetta Riley was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.