Passantino, Jennifer Jo

Passantino, Jennifer Jo is an individual health care provider with primary practice located at 345 Freshfields Drive Suite J101, Johns Island SC 29455-6323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Passantino, Jennifer Jo can be contacted via phone (843) 768-4800.

Contact Information

Primary practice address
345 Freshfields Drive Suite J101 Johns Island SC 29455-6323
Phone: (843) 768-4800
Fax: (843) 606-8039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 659 South Carolina

Profile Details

NPI number 1952368037
LBN Legal business name Passantino, Jennifer Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated May 11th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952368037 NPPES
South Carolina MEDICAID 0232PA

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