JALISSA ANN JERRY NPI 1548784267

NPI Information

  • NPI: 1548784267
  • Provider Name: JALISSA ANN JERRY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1211 HARRINGTON ST
    BEAUFORT, SC
    ZIP 29902
  • Phone: (843) 524-8899

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NPI Details

Jalissa Ann Jerry is a mental health counselor in Beaufort, SC. Jalissa Ann Jerry NPI is 1548784267. 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:

1211 HARRINGTON ST
BEAUFORT, SC
ZIP 29902
Phone: (843) 524-8899

The enumeration date for this NPI number is 8/3/2017 and was last updated on 7/21/2022.

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
1101YM0800XCounselorMental HealthSOUTH 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
1576000922MEDICAIDSOUTH 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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