JACQUELYN SUZETTE AMMONS ACNP NPI 1669965810

NPI Information

  • NPI: 1669965810
  • Provider Name: JACQUELYN SUZETTE AMMONS, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9330 MEDICAL PLAZA DR
    CHARLESTON, SC
    ZIP 29406
  • Phone: (843) 847-4876

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NPI Details

Jacquelyn Suzette Ammons, ACNP is an acute care nurse practitioner in Charleston, SC with 8 years of experience. 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.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

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

The NPI 1669965810 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 6/12/2018 and was last updated on 9/23/2024.

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
1363LA2100XNurse PractitionerAcute Care21768SOUTH 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
11720210586OTHERICC 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: 3/30/2025

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