Emma Cecilia Jusseaume, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TL2023 Issued in SC

Practice address

1698 Highway 160 W
Suite 200
Fort Mill, SC 29708-8032

Phone

(803) 547-4343

Fax

(803) 547-3914

NPI assigned

Jan 2, 2014

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1285055657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 200",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-4343",
            "fax_number": "803-547-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 200",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-4343",
            "fax_number": "803-547-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSSEAUME",
        "first_name": "EMMA",
        "middle_name": "CECILIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "TL2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.