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JACKSON CARLBLOM
NPI 1811882806
Student in an Organized Health Care Education/Training Program in North Charleston, SC

Active since June 10, 2025
4501 MIXSON AVE APT 306, NORTH CHARLESTON, SC 29405(218) 849-7317 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jackson Carlblom NPPES

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

JACKSON CARLBLOM (NPI 1811882806) is an individual student in an organized health care education/training program in North Charleston, South Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1811882806
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON CARLBLOM
Location Address4501 MIXSON AVE APT 306North Charleston, SC 29405-3227
Mailing Address4501 Mixson Ave Apt 306North Charleston, SC 29405-3227 · (218) 849-7317
Phone(218) 849-7317
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1811882806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
4501 MIXSON AVE APT 306, North Charleston, SC 29405
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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 Jackson Carlblom's NPI number?

The NPI number for Jackson Carlblom is 1811882806. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Jackson Carlblom located?

Jackson Carlblom practices at 4501 Mixson Ave Apt 306, North Charleston, SC 29405. The listed phone number is (218) 849-7317.

What is Jackson Carlblom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Carlblom was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.