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

Jade Hazel Pack

Individual provider Registered Nurse · NPI 1992511216

Jade Hazel Pack is a Nurse Practitioner in Manning, South Carolina. Qualified in 2024, 2 years ago. Practices with Clarendon Health and Wellness Center, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

107 Sunset Dr
Manning, SC 29102-2904
Phone: (803) 435-4447
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 29972 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 263902 (SC)

Record details

NPI number1992511216
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2024
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address1615 Zoar Church Rd, Sumter, SC 29153-9180

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clarendon Health And Wellness Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manning