Wurthmann, Jacklyn Pearson

Wurthmann, Jacklyn Pearson is an individual health care provider with primary practice located at 306 Station 22 1/2 St , Sullivans Island SC 29482-9756. 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. Wurthmann, Jacklyn Pearson can be contacted via phone (843) 883-3176.

Contact Information

Primary practice address
306 Station 22 1/2 St Sullivans Island SC 29482-9756
Phone: (843) 883-3176
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3091 South Carolina

Profile Details

NPI number 1679057541
LBN Legal business name Wurthmann, Jacklyn Pearson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Oct 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679057541 NPPES
South Carolina MEDICAID 3876PA

Popular Providers