ALICIA MARIE JACKSON MED
NPI 1861072324
Community Health Worker in Conway, SC
About Alicia Marie Jackson Med NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA MARIE JACKSON MED (NPI 1861072324) is an individual community health worker in Conway, South Carolina and active in the NPI registry since April 2021.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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.
CONWAY, SC 29526
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 Alicia Jackson's NPI number?
The NPI number for Alicia Jackson is 1861072324. It was assigned to this individual provider in the NPPES registry on April 9, 2021. The provider is also known as Alicia Marie Fader Med.
Where is Alicia Jackson located?
Alicia Jackson practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.
What is Alicia Jackson's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Alicia Jackson was last updated on April 9, 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.