JENNIFER WISE (NPI# 1285181347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285181347 |
| Entity Type | Individual |
| Full Name | JENNIFER WISE |
| Practice Address |
310 Neely Ferry Road Mauldin SC 29662 |
| Mailing Address |
22 Vista Dr Greenville SC 29617-8145 |
| Practice Telephone | 8644380990 |
| Mailing Telephone | 8644049692 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLP.6097 SPA | SC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699811471 | Jennifer Lea Wise | Chiropractor | 4931 S Route 59, Unit 121, Naperville, IL 60564-5705 | 2007-01-29 |
| 1982189981 | Jennifer Wise | Behavior Technician | 125 Wellness Way, Hot Springs, AR 71913-6478 | 2018-09-26 |
| 1467836742 | Jennifer Wise | Nurse Practitioner | 114 Saundersville Rd, Hendersonville, TN 37075-8967 | 2015-07-16 |
| 1255326252 | Jennifer Renee Wise | Internal Medicine | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1106 | 2005-09-15 |
| Street Address |
310 NEELY FERRY ROAD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| 1669721304 | Jerry Stewart Stoddard Jr. | Pharmacist | 224 East Butler Road, Mauldin, SC 29662 | 2012-09-07 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447543616 | Gwendolyn Barton Bozeman | Specialist/Technologist | 410 E Butler Rd, Mauldin, SC 29662-3250 | 2011-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651377 | Amanda Mcbrayer | Specialist/Technologist | 200 Idonia Dr, Taylors, SC 29687-3813 | 2020-02-17 |
| 1033760384 | Leslie Hagood | Specialist/Technologist | 138 Larkspur Ln, Columbia, SC 29229-8173 | 2019-09-26 |
| 1134616162 | Adriana Kelly | Specialist/Technologist | 714 S Lake Dr Ste 151, Lexington, SC 29072-3462 | 2018-04-16 |
| 1033623897 | Debra L Penland | Specialist/Technologist | 131 Charles B Gibson Blvd, Goose Creek, SC 29445-4559 | 2017-11-30 |
| 1336671296 | Natalie M Clark | Specialist/Technologist | 102 Green Wave Boulevard, Dorchester School District Two, Summerville, SC 29483 | 2017-03-30 |
| 1902201296 | Deborah Houk Cousins | Specialist/Technologist | 1183 Hebron Dunbar Rd, Bennettsville, SC 29512-7307 | 2014-10-29 |
| 1487991154 | Shanta Latrice Chester | Specialist/Technologist | 603 N Dennis Ave, Bishopville, SC 29010-1437 | 2013-01-14 |
| 1750673737 | Shamra O Richardson | Specialist/Technologist | 618 8th Ave, Aynor, SC 29511 | 2011-05-09 |
| 1285880591 | Palmetto Early Interventions, LLC | Specialist/Technologist | 223 Silverbrook Ln, Lexington, SC 29073-6727 | 2008-08-18 |
| 1477152874 | Ciara Lee Figueroa | Specialist/Technologist | 1536 Fording Island Rd Ste 105, Hilton Head Island, SC 29926-1144 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER WISE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.