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ADRIENNE JACKSON
NPI 1629588520
Prosthetist in Greenwood, SC

Active since October 05, 2017
2005 OLD LAURENS RD, GREENWOOD, SC 29649(864) 735-0768 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adrienne Jackson NPPES

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

ADRIENNE JACKSON (NPI 1629588520) is an individual prosthetist provider in Greenwood, South Carolina, licensed in South Carolina (4887) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1629588520
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameADRIENNE JACKSON
Location Address2005 OLD LAURENS RDGreenwood, SC 29649
Mailing Address2005 Old Laurens RdGreenwood, SC 29649-9235
Phone(864) 735-0768
Sole ProprietorYes
Enumeration DateOctober 5, 2017
✔ NPI 1629588520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in SC · 4887
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
2005 OLD LAURENS RD, Greenwood, SC 29649
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Other Names 1

Other Name (5)Adrienne Jackson Etc

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 Adrienne Jackson's NPI number?

The NPI number for Adrienne Jackson is 1629588520. It was assigned to this individual provider in the NPPES registry on October 5, 2017. The provider is also known as Adrienne Jackson Etc.

Where is Adrienne Jackson located?

Adrienne Jackson practices at 2005 Old Laurens Rd, Greenwood, SC 29649. The listed phone number is (864) 735-0768.

What is Adrienne Jackson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Adrienne Jackson was last updated on October 5, 2017. 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.