Jackson Lane McRae, RN, BSN
Registered Nurse, Community Health in Darlington, SC. Individual provider (NPI-1).
NPI number1962023697
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1962023697
- Entity type
- Individual (NPI-1)
- Name
- Jackson Lane McRae
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2020
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 232265 | SC | Yes |
Practice location
305 Russell StDarlington, SC 29532-3304
Phone 843-398-4400 · Fax 843-398-4418
Mailing address
305 Russell StDarlington, SC 29532-3304
Phone 843-398-4400 · Fax 843-398-4418
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