JENNIFER PEDERSEN


Address: 14314 Canter Trl, Greenville, SC 29609-0964
Phone: 2699858575

JENNIFER PEDERSEN (NPI# 1548732027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548732027
Entity Type Individual
Full Name JENNIFER PEDERSEN
Credential PA-C
Practice Address 14314 Canter Trl
Greenville
SC 29609-0964
Practice Telephone 2699858575
Mailing Telephone 2699858575
Enumeration Date 2018-12-21
Last Update Date 2018-12-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER PEDERSEN

NPI Name Taxonomy Address Enumeration
1689759383 Jennifer Elyse Pedersen Chiropractor 516 Main Street East, Detroit Lakes, MN 56501 2006-10-25
1831550235 Jennifer Pedersen Counselor 770 Woodlane Road, Mount Holly, NJ 08060 2016-03-11
1720472913 Jennifer Pedersen Occupational Therapist 407 S Main St, Suite 302, Viroqua, WI 54665-2100 2015-03-25
1497086912 Jennifer Pedersen Registered Nurse 1850 N Central Ave Ste 1600, Phoenix, AZ 85004-4633 2010-01-22
1073606661 Jennifer R. Pedersen Internal Medicine 4321 University Pkwy Ste 101, Evans, GA 30809 2006-10-02
1457467904 Jennifer Ann Pedersen Family Medicine 730 E 34th St, Hibbing, MN 55746-5109 2006-08-21

Office Location

Street Address 14314 CANTER TRL
City GREENVILLE
State SC
Zip Code 29609-0964

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522376 Piney Mountain Rx LLC Pharmacy 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 2018-09-17
1417434655 Kathryn Dorothy Muschick Pediatrics 900 W. Faris Dr., Greenville, SC 29609 2018-07-20
1942705645 The Wright Home Care, LLC Social Worker 217 E Stone Ave Ste 8, Greenville, SC 29609 2018-03-26
1205388386 Galina Hufstetler Physical Therapist 414 Summit Drive, Apt. 313, Greenville, SC 29609 2016-10-25
1811303225 Cal Jones LLC Pharmacy 961 Montebello Dr, Suite 2, Greenville, SC 29609 2014-07-07
1982954319 John C Shaughnessy Pharmacist 1141 State Park Road, Greenville, SC 29609 2012-09-13
1770842726 Neil S Sondov Counselor 1100 Rutherford Road, Greenville, SC 29609 2012-05-11
1790044915 Crystal Ervin Counselor 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 2012-05-08
1881992840 Cherrydale Dental Associates, LLC Dentist 105 State Park Rd, Greenville, SC 29609 2011-03-01
1649584483 Paul E Waters Pharmacist 1 East Stone Ave, Greenville, SC 29609 2010-08-04
Find all providers in zip 29609

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053924977 Caitlyn N Jetter Physician Assistant 7238 N State Route 49, Greenville, OH 45331-8302 2020-08-29
1720618291 Kaitlin Stover Physician Assistant 3444 Briarcliff Dr Apt K, Greenville, NC 27834-5419 2020-01-23
1962044321 Tyler Robert Tefft Physician Assistant 25 Draper St Apt 129, Greenville, SC 29611-4786 2019-10-17
1780157842 Briana Welch Denton Physician Assistant 2101 W Arlington Blvd # 100, Greenville, NC 27834-5758 2019-01-10
1972089092 Sarah Eileen Mann Physician Assistant 315 Greenville Blvd Se Ste 100, Greenville, NC 27858-5733 2018-07-11
1134588478 Sarah Roeser Physician Assistant 2090 W Arlington Blvd Ste B, Greenville, NC 27834-5727 2016-02-15
1992177760 Robert Chapman Physician Assistant 126 Milestone Way, Greenville, SC 29615-5065 2015-10-20
1497137756 Alexandra Brooks Physician Assistant 2706 Aileen St Ste B, Greenville, TX 75402-6486 2015-06-23
1558776633 David Jonathan Cutter Physician Assistant 1202 W Oak St Ste 200, Greenville, MI 48838-2155 2014-06-26
1366856056 Jennifer Barton Physician Assistant 7 Smith Ave Ste 103, Greenville, RI 02828 2014-06-20
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29609

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Dataset Information

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.

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