Brenden Jackson
Physician Assistant, Surgical in Little River, SC. Individual provider (NPI-1).
NPI number1336090448
StatusActive
Last updated in NPPESJun 2, 2026
Details
- NPI
- 1336090448
- Entity type
- Individual (NPI-1)
- Name
- Brenden Jackson
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2026
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
4000 Highway 9 ELittle River, SC 29566-7833
Phone 843-390-8100
Mailing address
4000 Highway 9 ELittle River, SC 29566-7833
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Other Surgical Physician Assistant providers in Little River, SC
- Maribeth A Carletta, PA-CNPI 1083710446
- Christin Lauren P Cummins Grigsby, PA-CNPI 1306336862
- John Christopher Lewis, PANPI 1881744555
- Steven Lopresto, PANPI 1639572266
All 5 Surgical Physician Assistant providers in Little River · All 468 providers in Little River
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