Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charnele Vontese Jackson, DNP

Individual provider Family Medicine Physician · NPI 1932778107

Charnele Vontese Jackson, DNP is a Nurse Practitioner in Columbia, South Carolina. Qualified in 2020, 6 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2021
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1333 Taylor St Ste D
Columbia, SC 29201-2923
Phone: (864) 455-2455
Fax: (864) 455-2450
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 531 Oxford St Ste C2, Sumter, SC 29150-3300 — (803) 295-0649

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 25444 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 25444 (SC)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 542224 (SC)

Record details

NPI number1932778107
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbia