Jennifer Tippett Pence, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

211808 Issued in SC

Practice address

135 Hood Rd
Greenville, SC 29611-7519

Phone

(864) 269-1821

Fax

(864) 269-0795

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1003466327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117519",
            "telephone_number": "864-269-1821",
            "fax_number": "864-269-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117519",
            "telephone_number": "864-269-1821",
            "fax_number": "864-269-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "JENNIFER",
        "middle_name": "TIPPETT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "211808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Pena
• Michael Leo Pena Jr.
• Roque Abel Penaloza, DDS
• David Condon Pence
• Jennifer Pence
• Helen Melette Pendarvis
• Pendleton Place Inc
• Brandon James Penland, PHARMD
• Casey Penland, PHARMD
• Cindy Lynn Penn, LMFT

• School Registered Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• School Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.