JENNIFER JUNIOR


Address: 2170 Walker Solomon Way, Columbia, SC 29204-1130
Phone: 8036008776

JENNIFER JUNIOR (NPI# 1629503594) 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) 1629503594
Entity Type Individual
Full Name JENNIFER JUNIOR
Practice Address 2170 Walker Solomon Way
Columbia
SC 29204-1130
Practice Telephone 8036008776
Enumeration Date 2017-04-27
Last Update Date 2017-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
20945 SC Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
20945 SC Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
20945 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2170 WALKER SOLOMON WAY
City COLUMBIA
State SC
Zip Code 29204-1130

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1992215149 Ricardo Colon II Registered Nurse 3000 Hampton Street, Columbia, SC 29204 2017-10-02
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1124568514 Kristy L Thompson Nurse Practitioner 1655 Bernardin Ave Ste 240, Columbia, SC 29204 2017-03-03
1982052031 Harold Eugene Cook Iv Podiatrist 1730 St Julian Place, Columbia, SC 29204 2016-05-31
1851748974 Shaquita Banks Counselor 1810 Allen Benedict Ct, A1, Columbia, SC 29204 2016-05-18
1265804835 Premier Care, LLC Case Management 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 2015-10-22
1023492287 Shamiquia N. Mcpherson Counselor 1627 Auburn St., Columbia, SC 29204 2015-07-16
1285028449 The Columbia Free Medical Clinic, Inc. Clinic/Center 1875 Harden Street, Columbia, SC 29204 2015-03-26
1629473459 Leslie Wilson Counselor 2323 Lady Street, Columbia, SC 29204 2014-10-22
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447851084 Paris Gartmon Nurse Practitioner 630 Canalside St Unit 1016, Columbia, SC 29201-6030 2020-11-02
1780241182 Adrienne Lendsey Hinton Nurse Practitioner 201 Lake Front Dr, Columbia, SC 29212-2422 2019-05-22
1114373651 Lilian Emetu Nurse Practitioner 822 Statler Road, Columbia, SC 29210 2016-05-13
1720402753 Jennifer M Newton Nurse Practitioner 795 Old Clemson Rd, Columbia, SC 29229-4203 2014-02-11
1437418258 Bear Creek Medical Clinic Nurse Practitioner 156 Bear Creek Pike, 7 A, Columbia, TN 38401-2288 2012-05-14
1144828468 Ivy Health Solutions LLC Nurse Practitioner 4100 N Main St Ste 201, Columbia, SC 29203-5800 2020-10-09
1932712627 Porsha Canzater Moore Nurse Practitioner 5 Richland Medical Park Dr, Columbia, SC 29203-6863 2020-08-24
1053952457 Evelynn Marie Pennington Nurse Practitioner 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2019-10-07
1114452901 Deidra Willis Nurse Practitioner 6439 Garners Ferry Rd, Columbia, SC 29209-1638 2017-04-29
1477901452 Kathy Lynn Onwezen Nurse Practitioner 1605 E Broadway Ste 300, Columbia, MO 65201-8023 2016-05-31
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Competitor

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City COLUMBIA
Zip Code 29204

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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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