Jennette Albayalde
Individual provider Active NPI Emergency Registered Nurse · Charleston, SC
NPI 1457072241 · NPPES record last updated Sep 8, 2022
Key facts
- NPI
- 1457072241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Registered Nurse 163WE0003X
- License
- 79169 (SC)
- Practice address
- 109 Bee St
Charleston, SC 29401-5703 - Phone
- (843) 577-5011
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79169 | SC | MD | Emergency Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 79169 | SC | Yes |
Addresses
Primary practice location
109 Bee St
Charleston, SC 29401-5703
Mailing address
412 Hamlet Cir
Goose Creek, SC 29445-7114
Phone (843) 609-5553
Other providers in Charleston, SC
- Joseph Edward Alagna Jr.
- Wasima Alam
- Tammam Mohammed N Alanazi
- Karlie Albach
- Philip Anton Albaneze
- David Lawrence Albenberg
- Richard Joseph Albenesius
- William Greer Albergotti III
- Camilo Jose Albert Fernandez
- Keith Andrew Albert
All providers in Charleston, SC · Emergency Registered Nurse 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 Sep 8, 2022. 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.