DR. JESSA MICHELLE HOLLINGSWORTH (NPI# 1538677927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538677927 |
| Entity Type | Individual |
| Full Name | DR. JESSA MICHELLE HOLLINGSWORTH |
| Credential | DNP, PMHNP |
| Practice Address |
33 Varden Dr Aiken SC 29803-5285 |
| Practice Telephone | 8036423801 |
| Practice Fax Number | 8036425538 |
| Mailing Telephone | 8036423801 |
| Mailing Fax Number | 8036425538 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21597 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC STATE BOARD OF NURSING | 21597 | 01 |
| Street Address |
33 VARDEN DR |
| City | AIKEN |
| State | SC |
| Zip Code | 29803-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608915 | Nannette C Moorer | Social Worker | 33 Varden Dr, Aiken, SC 29803-5285 | 2005-06-08 |
| 1093087850 | Paul M Heffington | Social Worker | 33 Varden Dr, #b, Aiken, SC 29803-5285 | 2012-02-08 |
| 1407123292 | Maureen Helen Carrigan | Psychologist | 33 Varden Dr, B, Aiken, SC 29803-5285 | 2011-11-21 |
| 1730456740 | Jane Stafford | Psychologist | 33 Varden Dr, Aiken, SC 29803-5285 | 2011-11-18 |
| 1659543262 | Aiken Psychotherapy | Community/Behavioral Health | 33 Varden Dr, Aiken, SC 29803-5285 | 2008-03-25 |
| 1104017243 | Aiken Psychotherapy and Counseling Inc | Counselor | 33 Varden Dr, Aiken, SC 29803-5285 | 2007-08-05 |
| 1114995099 | Aiken Psychiatric and Psychotherapy Associates Pa | Psychiatry & Neurology | 33 Varden Dr, Aiken, SC 29803-5285 | 2006-03-08 |
| 1205833621 | Michele Knapik-smith | Clinical Nurse Specialist | 33 Varden Dr, Aiken, SC 29803-5285 | 2005-06-30 |
| 1972508802 | David Andrew Steiner | Psychiatry & Neurology | 33 Varden Dr, Aiken, SC 29803-5285 | 2005-06-16 |
| 1972507903 | Barbara Joan Snyder | Social Worker | 33 Varden Dr, Aiken, SC 29803-5285 | 2005-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871147454 | Augusta Oncology Associates, P.C. | Specialist | 222 University Parkway, Aiken, SC 29803 | 2019-07-31 |
| 1356804546 | Ebony Johnson | Home Health Aide | 942 C Dougherty Rd, Aiken, SC 29803 | 2019-04-13 |
| 1689144230 | Tabatha Lee Maddox | Occupational Therapist | 550 East Gate Dr, Aiken, SC 29803 | 2018-11-27 |
| 1962995100 | Pvd Internal Medicine Associates LLC | Internal Medicine | 440 Society Hill Dr Ste B, Aiken, SC 29803 | 2018-06-12 |
| 1689197691 | Trent David Yoder | Dentist | 174 Crepe Myrtle Drive, Aiken, SC 29803 | 2017-07-21 |
| 1770039331 | Lauren Reigot | Physical Therapist | 6140 Woodside Executive Ct., Aiken, SC 29803 | 2016-09-01 |
| 1851747190 | Umg Primary Care South Carolina, LLC | Family Medicine | 1023 Silver Bluff Road, Aiken, SC 29803 | 2016-05-05 |
| 1912375759 | Lisa G Browning | Nurse Practitioner | 550 E. Gate Drive, Aiken, SC 29803 | 2015-09-10 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| 1528327483 | Caresouth Hospice, LLC | Hospice Care, Community Based | 37 Varden Drive, Suite B, Aiken, SC 29803 | 2012-05-14 |
| Find all providers in zip 29803 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708296 | The Integrated Wellness Center, LLC | Nurse Practitioner | 738 W Liberty St Ste B, Sumter, SC 29150-4745 | 2020-07-30 |
| 1033737903 | Danielle Ledwell | Nurse Practitioner | 109 Bee St Fl 5, Charleston, SC 29401-5703 | 2020-07-08 |
| 1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1760017651 | Kandice Rivers | Nurse Practitioner | 8504 Chloe Ln, North Charleston, SC 29406-8100 | 2020-03-11 |
| 1194350447 | Angela M. Strange | Nurse Practitioner | 109 Brookhaven Dr, Moore, SC 29369-9750 | 2020-03-06 |
| 1144851742 | Patricia Deane | Nurse Practitioner | 430 Cox Rd, Greer, SC 29651-7260 | 2020-02-01 |
| 1497386155 | Michelle Yvette Pinckney | Nurse Practitioner | 1094 Williams Rd, Charleston, SC 29412-5322 | 2020-01-31 |
| 1619515632 | Leah R Hunter | Nurse Practitioner | 53 Antique Rose Ct, Irmo, SC 29063-7501 | 2019-12-20 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
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| 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.