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

Mrs. Stacey A Jackson, REGISTEREDNURSE

Individual provider Emergency Registered Nurse · NPI 1023831104

Mrs. Stacey A Jackson, REGISTEREDNURSE is an Emergency Registered Nurse in Myrtle Beach, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

101 McLeod Health Blvd Ste 101
Myrtle Beach, SC 29579-4477
Phone: (843) 646-8200
Show map & directions

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

Additional practice locations (1)

  • 555 E Cheves St, Florence, SC 29506-2617 — (843) 777-2000

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 258919 (MA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 258919 (MA)

Record details

NPI number1023831104
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Other providers in Myrtle Beach