Leverett, Jacqueline Deneen
Leverett, Jacqueline Deneen is an individual health care provider with primary practice located at 1 Richland Medical Park Dr Ste 100 , Columbia SC 29203-6834. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leverett, Jacqueline Deneen can be contacted via phone (803) 434-6095.Contact Information
Primary practice address
1 Richland Medical Park Dr Ste 100
Columbia SC 29203-6834
Phone: (803) 434-6095
Fax: (803) 758-0120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 24597 | South Carolina |
Profile Details
| NPI number | 1841968054 |
|---|---|
| LBN Legal business name | Leverett, Jacqueline Deneen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2021 |
| Last updated | Jul 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841968054 | NPPES |
| South Carolina | MEDICAID | NP7858 |
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