Organization Active NPI

Palmetto Advanced Mobile Wound Care PC

  • Family Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1407709595
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PALMETTO ADVANCED MOBILE WOUND CARE PC
Practice address
1122 Lady St
FL 3
Columbia, SC 29201-3491
Phone
(864) 934-8326
NPI assigned
Feb 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Jennifer Rice, FNP
Title
Owner
Phone
(864) 934-8326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1122 Lady St
FL 3
Columbia, SC 29201-3491

Mailing address

1122 Lady St FL 3
Columbia, SC 29201-3491
Phone (864) 934-8326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1407709595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LADY ST FL 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013491",
            "telephone_number": "864-934-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 LADY ST",
            "address_2": "FL 3",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013491",
            "telephone_number": "864-934-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ADVANCED MOBILE WOUND CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-934-8326",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.