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

Jackie Emmanuel Queen, MD

Individual provider Pediatrics Physician · NPI 1710417753

Jackie Emmanuel Queen, MD is a Pediatrics Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 455-7844
Fax: (864) 455-7848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 51169 (SC)
Pediatrics Physician Taxonomy 208000000X · Licence 51169 (SC)

Record details

NPI number1710417753
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESJuly 21, 2022

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