JACKELYN NICHOLS ANDERSEN R.N.
NPI 1871631309
Registered Nurse in Simpsonville, SC

Q: What is Jackelyn Andersen's NPI number?

The NPI number for Jackelyn Andersen is 1871631309. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Jackelyn Andersen's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackelyn Andersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 05, 2007

20 POWDERHORN RD, SIMPSONVILLE, SC 29681(864) 963-3421(864) 962-0758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jackelyn Nichols Andersen R.n. NPPES

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

JACKELYN NICHOLS ANDERSEN R.N. (NPI 1871631309) is an individual registered nurse in Simpsonville, South Carolina, licensed in South Carolina (48145) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1871631309

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameJACKELYN NICHOLS ANDERSENCredential: R.N.

Location Address20 POWDERHORN RDSimpsonville, SC 29681-3399

Mailing Address20 Powderhorn RdSimpsonville, SC 29681-3399 · (864) 963-3421 · Fax (864) 962-0758

Phone(864) 963-3421

Fax(864) 962-0758

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871631309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in SC · 48145

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

20 POWDERHORN RD, Simpsonville, SC 29681

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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.

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