MS. JENNIFER LYNN LEE (NPI# 1760852313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760852313 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN LEE |
| Credential | FNP |
| Practice Address |
5010 Carolina Forest Blvd Myrtle Beach SC 29579-3579 |
| Mailing Address |
300 Singleton Ridge Rd Conway SC 29526-9142 |
| Practice Telephone | 8432362700 |
| Practice Fax Number | 8432362726 |
| Mailing Telephone | 8432345139 |
| Mailing Fax Number | 8432346822 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19652 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2021 N Myrtle Point Blvd Ste 101, North Myrtle Beach, SC 295822224 | 8436632100 | 8436632102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713526 | Jennifer Lee | Massage Therapist | 11707 N Wall St, Spokane, WA 99218-2844 | 2020-09-02 |
| 1215557863 | Jennifer Lee | Student in an Organized Health Care Education/Training Program | 1175 Grand Concourse Dept Of, Bronx, NY 10452-8549 | 2020-04-23 |
| 1811528862 | Jennifer Ann Lee | Occupational Therapy Assistant | 12770 Coit Rd Ste 870, Dallas, TX 75251-1455 | 2020-01-29 |
| 1366093916 | Jennifer Carrie Lee | Massage Therapist | 5135 Se 41st Ave, Portland, OR 97202-4234 | 2019-09-25 |
| 1164983359 | Jennifer Lee | Pharmacist | Bdsc Tf Med 528, Apo, AE 09305 | 2019-03-29 |
| 1205323847 | Jennifer Amy Lee | Occupational Therapist | 2429 22nd Ave, San Francisco, CA 94116-2436 | 2018-04-19 |
| 1114426053 | Jennifer Lauren Lee | Nurse Practitioner | 4401 Mcauley Blvd Ste 1100, Oklahoma City, OK 73120-8533 | 2018-02-06 |
| 1689107526 | Jennifer Lee | Psychiatry & Neurology | 401 Parnassus Avenue, Box-0984, San Francisco, CA 94143-0984 | 2017-04-07 |
| 1073065058 | Jennifer Lee | Dental Hygienist | 8832 Dakota Ave, Garden Grove, CA 92844-2016 | 2016-10-26 |
| 1841644879 | Jennifer Lee | Occupational Therapy Assistant | 10995 Sunshine Dr, Chardon, OH 44024-9637 | 2016-04-15 |
| Street Address |
5010 CAROLINA FOREST BLVD |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290129 | Scott A Ross | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2005-07-28 |
| 1790139558 | Yolanda Lang | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2016-04-19 |
| 1114300985 | Amanda Schimnowski | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2015-06-29 |
| 1699156364 | Megan Thompson Hall | Pediatrics | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2015-06-17 |
| 1679836597 | Brittany Gusic | Family Medicine | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2012-06-18 |
| 1003112152 | Conway Hospital Inc | Obstetrics & Gynecology | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2011-02-08 |
| 1902047277 | Conway Hospital, Inc. | Nurse Practitioner | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2009-03-17 |
| 1669489100 | Kenneth A Thompson | Obstetrics & Gynecology | 5010 Carolina Forest Blvd, Myrtle Beach, SC 29579-3579 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671027 | Tara Sharay Woods | Nurse Practitioner | 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579-4204 | 2019-10-24 |
| 1629611694 | Nancy Lauren Johnson | Nurse Practitioner | 101 Mcleod Health Blvd, Myrtle Beach, SC 29579-4477 | 2019-10-23 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1528569712 | Sarah Manglicmot Campos | Nurse Practitioner | 2050 Corporate Centre Dr Ste 220, Myrtle Beach, SC 29577-7428 | 2018-02-23 |
| 1679088793 | Maribeth Reid | Nurse Practitioner | 3236 Holmestown Rd Unit E1, Myrtle Beach, SC 29588-7495 | 2017-12-12 |
| 1184165714 | Emily Whitehurst | Nurse Practitioner | 3913 Carnegie Ave, Apt 216, Myrtle Beach, SC 29588-1144 | 2017-03-15 |
| 1851835441 | Sandra Graham | Nurse Practitioner | 101 Mcleod Health Blvd Ste 202, Myrtle Beach, SC 29579-4477 | 2016-12-15 |
| 1487058434 | Ashley Adams | Nurse Practitioner | 4887 Socastee Blvd, Myrtle Beach, SC 29588-7245 | 2014-10-20 |
| 1699191262 | Tiffany Mahaffey | Nurse Practitioner | 1101 Brightwater Drive, Agape Physicians Care, Myrtle Beach, SC 29579 | 2014-03-06 |
| 1902235864 | Larissa Connell | Nurse Practitioner | 2510 N Kings Hwy, Myrtle Beach, SC 29577-3037 | 2013-11-01 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on MS. JENNIFER LYNN LEE.
| 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.