Jacquelyn Evans Edwards, MSP, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3952 Issued in SC

Practice address

133 W Clarke Rd
Florence, SC 29501-0722

Phone

(843) 669-4374

NPI assigned

Mar 27, 2015

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

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1366836371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W CLARKE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010722",
            "telephone_number": "843-669-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W CLARKE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010722",
            "telephone_number": "843-669-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JACQUELYN",
        "middle_name": "EVANS",
        "credential": "MSP, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Louis Edwards, D.O.
• Felice Edwards
• George Emory Edwards III, PA-C
• Illiyah Phyllis Edwards
• Ira V Edwards II, DC
• James Ryland Edwards, C.R.N.A.
• Jeremy Lane Edwards, HIS
• Lutricia Edwards, LPN
• Madison Grace Hewitt Edwards, PA
• Marquia D Edwards, PHARMD

• Speech-Language Pathologist in Florence, SC
• Providers in Florence, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.