Keelan Raphael Jackson
Keelan Raphael Jackson is a Student in an Organized Health Care Education/Training Program in Parris Island, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.
- Licensed in
- SC
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
670 Boulevard De FranceParris Island, SC 29905
Phone: (843) 228-4757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 1790449882 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1790449882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 26, 2021 |
| Last updated in NPPES | August 4, 2026 |
| Certification date | August 4, 2026 |
Other providers in Parris Island
-
Lauren Bertsch, DMD
674 Boulevard De France, Parris Island, SC 29905 · (843) 228-3500
-
Andrew Holderer, DMD
674 Blvd De France Mcrd Parris Island Dental Bldg, Parris Island, SC 29905 · (843) 228-3500
-
Lauren Verheyden, DMD
670 Boulevard De France Bldg 674, Parris Island, SC 29905 · (843) 228-5994