Jennifer Calabrese, FNP
Individual provider Active NPI Pediatric Nurse Practitioner · Darlington, SC
NPI 1124050281 · NPPES record last updated Aug 16, 2012
Key facts
- NPI
- 1124050281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- F1192 (SC)
- Practice address
- 105 Industrial Way
Darlington, SC 29532 - Phone
- (843) 395-0015
- Fax
- (843) 393-0971
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1192 | SC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Carolina Pediatric Associates PC | Past | Accepting new patients | |
| Eastern Carolina Pediatric Associates | Past | Accepting new patients |
Interoperability endpoints
- ecpa@easterncarolinapeds.ssdirect.aprima.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F1192 | SC | Yes |
Addresses
Primary practice location
105 Industrial Way
Darlington, SC 29532
Mailing address
PO Box 799
Darlington, SC 29540-0799
Phone (843) 395-0015
Other providers in Darlington, SC
- Megan Britt
- Melissa Leigh Brock
- Harvey Neil Brown
- Jeremy Bryan
- Teresa Bynum
- Alice Dunkelberg Caldwell
- Rebecca Campbell
- Carolina Drug Store Incorporated
- Carolinas Medical Alliance Inc
- Center for Sedation and Advanced Dentistry PC
All providers in Darlington, SC · Pediatric Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.