MRS. JODY K EBLEN (NPI# 1578876553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578876553 |
| Entity Type | Individual |
| Full Name | MRS. JODY K EBLEN |
| Credential | ANP |
| Practice Address |
1049b Anna Knapp Blvd Mt Pleasant SC 29464-3133 |
| Practice Telephone | 8438498800 |
| Practice Fax Number | 8438498889 |
| Mailing Telephone | 8438498800 |
| Mailing Fax Number | 8438498889 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
104130 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1049B ANNA KNAPP BLVD |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790736486 | Thomas B Cruden | Family Medicine | 1049b Anna Knapp Blvd, Mt Pleasant, SC 29464-3133 | 2006-05-15 |
| 1710213194 | Mary Belle Chiles | Nurse Practitioner | 1049b Anna Knapp Blvd, Mt Pleasant, SC 29464-3133 | 2009-10-20 |
| 1427209782 | Wendy S Griffith | Dietitian, Registered | 1049b Anna Knapp Blvd, Mt Pleasant, SC 29464-3133 | 2008-10-06 |
| 1053492686 | Holly B Miller | Physician Assistant | 1049b Anna Knapp Blvd, Mt Pleasant, SC 29464-3133 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1639508997 | Elizabeth Connor | Nurse Practitioner | 900 Bowman Rd Ste 301, Mt Pleasant, SC 29464-3233 | 2013-11-07 |
| 1184688822 | Sarah Ann Campbell | Nurse Practitioner | 249 Foust, Cmu Health Services, Mt Pleasant, MI 48859-0001 | 2006-04-12 |
| 1376547836 | Patricia Ann Luetkemeier | Nurse Practitioner | 211 S Crapo St, Ste L, Mt Pleasant, MI 48858-2961 | 2005-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898038 | Latoya Gibson | Nurse Practitioner | 48 Centennial Way, Greenville, SC 29605-4662 | 2020-10-12 |
| 1003413469 | South Carolina Provider Services | Nurse Practitioner | 413 Wildflower Rd, Easley, SC 29642-8642 | 2020-10-07 |
| 1578173555 | Amy Kelly | Nurse Practitioner | 115 N Sumter St Ste 300, Sumter, SC 29150-4967 | 2020-08-05 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1427696475 | Porscha Rush | Nurse Practitioner | 1040 Frye Rd, Galivants Ferry, SC 29544-8018 | 2019-12-19 |
| 1306483011 | Julie Marie Sim | Nurse Practitioner | 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 | 2019-12-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1396225769 | Kristin Claude | Nurse Practitioner | 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 | 2018-08-15 |
| 1376031732 | Migina Anica Timpson | Nurse Practitioner | 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 | 2018-05-01 |
| 1932601903 | Jamie Andrews Odom | Nurse Practitioner | 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 | 2018-03-06 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on MRS. JODY K EBLEN.
| 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.