JACQUELYN SUZETTE AMMONS ACNP NPI 1669965810

NPI Information

NPI: 1669965810
Provider Name: JACQUELYN SUZETTE AMMONS, ACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406
Phone: (843) 847-4876
Get Directions

Jacquelyn Suzette Ammons, ACNP is an acute care nurse practitioner in Charleston, SC. Jacquelyn Suzette Ammons, ACNP NPI is 1669965810. 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:

9330 MEDICAL PLAZA DR
CHARLESTON, SC
ZIP 29406-104
Phone: (843) 847-4876

The enumeration date for this NPI number is 6/12/2018 and was last updated on 10/1/2018.

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	21768	SOUTH CAROLINA	Yes

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
1	1720210586	OTHER		ICC HEALTHCARE LLC

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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