Newell, Jessica E
Newell, Jessica E is an sole proprietor health care provider with primary practice located at 222 E Medical Ln Ste 101 , West Columbia SC 29169-4850. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Newell, Jessica E can be contacted via phone (803) 739-3660.Contact Information
Primary practice address
222 E Medical Ln Ste 101
West Columbia SC 29169-4850
Phone: (803) 739-3660
Fax: (803) 739-3663
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 21614 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21614 | South Carolina |
Profile Details
NPI number | 1184123630 |
---|---|
LBN Legal business name | Newell, Jessica E |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 9th, 2018 |
Last updated | Nov 10th, 2020 - about 4 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 | 1184123630 | NPPES |
South Carolina | MEDICAID | NP5251 |
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