MISS ELIZABETH ANN HOLLOWAY JENSEN (NPI# 1548230220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548230220 |
| Entity Type | Individual |
| Full Name | MISS ELIZABETH ANN HOLLOWAY JENSEN |
| Credential | DNP, FNP-BC,PMHNP-BC |
| Practice Address |
403 Stony Landing Rd Moncks Corner SC 29461-3967 |
| Practice Telephone | 8437618282 |
| Practice Fax Number | 8437617308 |
| Mailing Telephone | 8437618282 |
| Mailing Fax Number | 8437617308 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4350 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4350 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 435201 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2080 Child St, Jacksonville, FL 322145005 | 9045427975 | |
| 721 Long Point Rd Ste 408b, Mount Pleasant, SC 29464 | 8438005070 |
| Street Address |
403 STONY LANDING RD |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301313 | Jennifer Lane Gillespie | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1982210415 | Kelvin Craig Tyler Jr. | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1376159897 | Stephanie Davis-velez | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
| 1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1679104640 | Kayla B Bennett | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1194356162 | Monique D Stanley | Registered Nurse | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1780221036 | Lydia Stallings | Case Manager/Care Coordinator | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-12-05 |
| 1518501253 | Sarah A Younts | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-06 |
| 1164066817 | Rachael D Danforth | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| 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 |
|---|---|---|---|---|
| 1245273663 | Kristi A West | Nurse Practitioner | 403 Stony Landing Rd, Moncks Corner, SC 29461 | 2006-06-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on MISS ELIZABETH ANN HOLLOWAY JENSEN.
| 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.