Jena Marlowe Nickles (NPI# 1821399106, PAC ID# 5698954956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1821399106 |
| PAC ID by PECOS | 5698954956 |
| Professional Enrollment ID | I20110119000931 |
| Full Name | Jena Marlowe Nickles |
| Organization Legal Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Address |
730 Stony Landing Rd Moncks Corner SC 29461-2904 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193874824 |
| Number of Group Practice Members | 389 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420087 | ROPER HOSPITAL |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Organization Legal Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Physicians | 396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colton Thomas Jayne | Family Medicine | Roper Saint Francis Physicians Network | 319 Folly Rd, Charleston, SC 29412-2518 |
| Whitney Hartman | Nurse Practitioner | Roper Saint Francis Physicians Network | 4278 Ladson Rd, Ladson, SC 29456-5452 |
| Robert Terrence Sullivan | Orthopedic Surgery | Roper Saint Francis Physicians Network | 8901 University Blvd, N Charleston, SC 29406-9116 |
| Lesley Ann Bosse | Nurse Practitioner | Roper Saint Francis Physicians Network | 1114 N Main St, Summerville, SC 29483-7326 |
| Jeanne B Lumpkin | Family Medicine | Roper Saint Francis Physicians Network | 5133 Rivers Ave, North Charleston, SC 29406-6338 |
| Mary D Edwards | Nurse Practitioner | Roper Saint Francis Physicians Network | 912 Inlet Square Dr A, Murrells Inlet, SC 29576-7812 |
| Brittain Williams Gibbs | Nurse Practitioner | Roper Saint Francis Physicians Network | 2075 Eagle Landing Blvd, N Charleston, SC 29406-4074 |
| Keely Flynn Hudgins | Registered Dietitian Or Nutrition Professional | Roper Saint Francis Physicians Network | 2093 Henry Tecklenburg Dr, Charleston, SC 29414-5783 |
| Elizabeth A Byerly | Nurse Practitioner | Roper Saint Francis Physicians Network | 1595 Central Ave, Summerville, SC 29483-5529 |
| Brett H Young | Orthopedic Surgery | Roper Saint Francis Physicians Network | 255 E Bay St, Charleston, SC 29401-2632 |
| Street Address |
730 STONY LANDING RD |
| City | MONCKS CORNER |
| State | SC |
| Zip | 29461-2904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert G Reuther | Ophthalmology | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Nancy R Lembo | Physical Medicine and Rehabilitation | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | |
| Cortney S Draper | Emergency Medicine | Roper Hospital, Inc. | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| John P Davis Jr. | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 |
| Crystal G Whittington | Optometry | Carolina Eyecare Physicians LLC | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Alexander Marshall | Internal Medicine | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| James J Pavao | Physician Assistant | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Demetrios A Papadopoulos | Family Practice | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Tresha T Ward | Family Practice | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Robert Flowers | Obstetrics/gynecology | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frances P Johnson | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Richard Gordon Johnson I | Physical Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Rodney N Tyler Jr. | Occupational Therapy | Moncks Corner Physical Therapy, LLC | 209 W Main St, Moncks Corner, SC 29461-2604 |
| Iwona Gasior | Physician Assistant | Ohio Valley Physicians Inc | 306 Airport Dr, Moncks Corner, SC 29461-2629 |
| Benjamin M Duffey | Family Practice | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Tiffany E Richter | Hospice/palliative Care | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Rory S Brodie | Nurse Practitioner | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| David W Robinson | Family Practice | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Priscilla W Holtzclaw | Family Practice | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Amy Z Mcdevitt | Nurse Practitioner | Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 |
| Find all physicians in zip 29461 | |||
| City | MONCKS CORNER |
| Zip Code | 29461 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MONCKS CORNER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jena Marlowe Nickles.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.