JESSICA LYNN MAHADY AGACNP-BC NPI 1457002024

NPI Information

NPI: 1457002024
Provider Name: JESSICA LYNN MAHADY, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
2376 CYPRESS CIR STE 102
CONWAY, SC
ZIP 29526
Phone: (843) 347-8953
Get Directions

Jessica Lynn Mahady, AGACNP-BC is an acute care nurse practitioner in Conway, SC with 2 years of experience. Jessica Lynn Mahady, AGACNP-BC NPI is 1457002024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2376 CYPRESS CIR STE 102
CONWAY, SC
ZIP 29526-964
Phone: (843) 347-8953
Fax: (843) 347-0226

The NPI 1457002024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2022 and was last updated on 8/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	26433	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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