Individual provider Active NPI

Jocylene Adama Jennings, LPN

  • Licensed Practical Nurse
  • Spartanburg, SC
National Provider Identifier
1396408811
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
51144 Issued in SC
Practice address
1035 N Church St
Spartanburg, SC 29303-2714
Phone
(864) 602-1188
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 51144 SC Primary

Addresses

Primary practice location

1035 N Church St
Spartanburg, SC 29303-2714

Mailing address

1035 N Church St
Spartanburg, SC 29303-2714
Phone (864) 602-1188

Other names 1

  • Ms. Jocylene Adama Jennings Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL JenninJA@dhec.sc.gov Health Information Exchange (HIE)
Direct Messaging Address JenninJA@dhen.sc.gov Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51144SCMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: jenninja@dhen.sc.gov

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1396408811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032714",
            "telephone_number": "864-602-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032714",
            "telephone_number": "864-602-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JOCYLENE",
        "middle_name": "ADAMA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "51144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JenninJA@dhec.sc.gov",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1035 N Church St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293032714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JenninJA@dhen.sc.gov",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1035 N Church St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293032714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOCYLENE",
            "last_name": "JENNINGS",
            "middle_name": "ADAMA",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.