Keelan Raphael Jackson
Independent Duty Corpsman · Parris Island, SC
Keelan Raphael Jackson is an independent duty corpsman with a practice address in Parris Island, South Carolina, and NPI 1790449882, issued on Oct 26, 2021. Check the license (South Carolina 1790449882, as entered in NPPES) with the South Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Keelan Raphael Jackson
- Primary taxonomy
- Independent Duty Corpsman 1710I1002X
- License number
- 1790449882 SC
Self-reported in NPPES; status is on the state search - Practice location
- 670 Boulevard DE France, Parris Island, SC 29905
- Phone
- (843) 228-4757
- Enumerated
- Oct 26, 2021
- Record last updated
- Aug 4, 2026
- Entity
- Type 1 · individual
Also registered at 670 Boulevard DE France
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Robert Bankov, M.D.Emergency Medicine Physician1487624375
- Byron Barbour, DPTMilitary Health Care Provider1023625019
- Tammy Carter, ATCAthletic Trainer1336518232
- Paige Desaulniers, P.A.Physician Assistant1306397161
- Andrew Hamm, D.O.Sports Medicine (Family Medicine) Physician1760863518
- Daniel LangeClinical Psychologist1710712583
Verify Keelan Raphael Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
Search for license 1790449882Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4 independent duty corpsman records list a practice address in Parris Island
They are 4 of the 57 NPPES records with a practice address in Parris Island, and 30 independent duty corpsman records in South Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4 in Parris Island → All 30 in South Carolina → Every provider in Parris Island →
Other independent duty corpsman records in South Carolina
- Matthew Barnhart, IDCBeaufort, SC1184827941
- Heidi BennettNorth Charleston, SC1700631876
- Paul Burden, IDCBeaufort, SC1649640004
- Juan CamachoaclderonSummerville, SC1114295052
- John Coates, IDCBeaufort, SC1417169434
- Michael Congdon, IDCBeaufort, SC1588690465
- Joshua Crum, SOIDCSimpsonville, SC1700144821
- Anthony Dowell, IDCParris Island, SC1881241651
- Brendan Duran, IDCNorth Charleston, SC1699106575
- Laurin EasonNorth Charleston, SC1932870250
Common questions
What is Keelan Raphael Jackson's NPI number?
Keelan Raphael Jackson's National Provider Identifier (NPI) is 1790449882, issued on Oct 26, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Keelan Raphael Jackson located?
The NPPES record lists a practice address at 670 Boulevard DE France, Parris Island, SC, 29905. Phone: (843) 228-4757. Providers update this record themselves, so call before visiting.
How can I verify Keelan Raphael Jackson's license?
NPPES lists South Carolina license number 1790449882, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.