JENNIFER MARIE SMALL (NPI# 1659912186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659912186 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE SMALL |
| Credential | NP |
| Practice Address |
1405 E Greenville St Anderson SC 29621-2049 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2020-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23272 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1205 N Highway 11, West Union, SC 296962715 | 8646385402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053410183 | Jennifer Rebecca Small | Optometrist | 2237 Saranac Ave, Lake Placid, NY 12946-1185 | 2006-09-22 |
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1427514017 | Jennifer Small | Counselor | 22110 Roscoe Blvd Ste 204, Canoga Park, CA 91304-3862 | 2019-02-19 |
| 1619441748 | Jennifer W Small | Nurse Practitioner | 5916 174th St, Fresh Meadows, NY 11365-1539 | 2019-01-11 |
| 1154814291 | Jennifer Anne Small | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2018-06-13 |
| 1285978106 | Jennifer Sue Small | Nurse Practitioner | 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 | 2012-11-15 |
| 1699020826 | Jennifer Marie Small | Social Worker | 551 Cincinnati Batavia Pike, Cincinnati, OH 45244-1518 | 2012-07-13 |
| 1336372721 | Jennifer A Small | Orthotist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1023281102 | Jennifer Lynn Small | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2008-04-09 |
| 1609045525 | Jennifer Woodard Small | Physical Therapist | 20098 Ashbrook Pl, Suite 190, Ashburn, VA 20147-3393 | 2008-02-25 |
| Street Address |
1405 E GREENVILLE ST |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922101468 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1405 E Greenville St, Anderson, SC 29621-2049 | 2006-09-07 |
| 1417443029 | Justin Lee Gardo | Pharmacist | 1405 E Greenville St, Anderson, SC 29621-2049 | 2018-07-06 |
| 1750875217 | Ashley Cox | Nurse Practitioner | 1405 E Greenville St, Anderson, SC 29621 | 2018-06-19 |
| 1235631169 | Lindsay Wilson Lollis | Nurse Practitioner | 1405 E Greenville St, Anderson, SC 29621-2049 | 2018-03-07 |
| 1912456724 | Jeffrey Akom | Pharmacist | 1405 E Greenville St, Anderson, SC 29621-2049 | 2016-09-22 |
| 1417352915 | Candace Wilson | Nurse Practitioner | 1405 E Greenville St, Anderson, SC 29621-2049 | 2014-10-27 |
| 1023368420 | Michael Earl Mcwhorter | Pharmacist | 1405 E Greenville St, Anderson, SC 29621-2049 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462773 | Ashley Nicole Jones | Nurse Practitioner | 5226 Fletcher St, Anderson, IN 46013-4819 | 2020-09-21 |
| 1689285538 | Austin Darbyshire | Nurse Practitioner | 215 Fox Trl, Anderson, SC 29621-4417 | 2020-08-13 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1558871681 | His Solutions Specialty Care Corp. | Nurse Practitioner | 33 W 10th St #621, Anderson, IN 46016-1493 | 2017-10-03 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1316318454 | Donna Gibson Marcengill | Nurse Practitioner | 2000 E Greenville St Ste 2000, Anderson, SC 29621-1720 | 2015-10-15 |
| 1750763405 | Holly D. Rogers | Nurse Practitioner | 800 N Fant St., Anderson, SC 29621 | 2015-06-18 |
| 1093019952 | Susan Lee Sanders | Nurse Practitioner | 2017 Norwood Dr, Anderson, IN 46012-1832 | 2011-01-06 |
| 1184931081 | Tracey Glen Schofield Jr. | Nurse Practitioner | 2000 E Greenville St Ste 2800, Anderson, SC 29621-1722 | 2010-09-13 |
| 1073755658 | Jenile J Abell | Nurse Practitioner | 1210 Medical Arts Blvd Ste 206, Anderson, IN 46011-3437 | 2009-03-30 |
| Find all providers in ANDERSON | ||||
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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.