JACOB COWARD NPI 1396939971

NPI Information

  • NPI: 1396939971
  • Provider Name: JACOB COWARD
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 518 E CAROLINA AVE STE B
    HARTSVILLE, SC
    ZIP 29550
  • Phone: (843) 383-4426

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NPI Details

Jacob Coward is a pediatrics nurse practitioner in Hartsville, SC. Jacob Coward NPI is 1396939971. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

518 E CAROLINA AVE STE B
HARTSVILLE, SC
ZIP 29550-312
Phone: (843) 383-4426
Fax: (843) 383-8509

The enumeration date for this NPI number is 8/28/2007 and was last updated on 7/15/2015.

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
1363LP0200XNurse PractitionerPediatrics3317SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
120066947OTHERSOUTH CAROLINASELECT HEALTH
23317OTHERSOUTH CAROLINASC LICENSE #
3AA47444784MEDICARE PINSOUTH CAROLINA
4NP1148MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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