Jacquetta Riley, | |
1550 Carolina Ave, Orangeburg, SC 29115-4944 | |
(803) 533-5489 | |
Not Available |
Full Name | Jacquetta Riley |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1550 Carolina Ave, Orangeburg, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245829928 | NPI | - | NPPES |
NONE | Other | VACCINES | |
0511SC | Other | SC | VACCINATING |
000 | Other | 0000 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | P47848 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jacquetta Riley, 1550 Carolina Ave, Orangeburg, SC 29115-4944 Ph: (803) 533-5489 | Jacquetta Riley, 1550 Carolina Ave, Orangeburg, SC 29115-4944 Ph: (803) 533-5489 |
Mrs. Bridgett Shavonne Burnett, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 785 Five Chop Rd, Orangeburg, SC 29115 Phone: 803-378-4635 | |
Matieth Nicole Preston, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 347 Lakeview Dr, Orangeburg, SC 29115 Phone: 803-747-8600 | |
Shayquell Mitchell, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 615 Kings Rd, Orangeburg, SC 29115 Phone: 803-378-7062 |