Jennifer Cianci, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19036 Issued in SC

Practice address

710 Johnnie Dodds Blvd Ste 101
Mt Pleasant, SC 29464-3045

Phone

(630) 292-0297

NPI assigned

Oct 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1508236464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 JOHNNIE DODDS BLVD STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643045",
            "telephone_number": "630-292-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 JOHNNIE DODDS BLVD STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643045",
            "telephone_number": "630-292-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCI",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-04",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Rose Christensen, PHARMD
• CHS Dental LLC (Anderson Dentistry)
• Heather Nicole Chumley-Jones, MSRPT, RYT200
• Jill Suzanne Chumley-Jones, PT
• Christina Church, D.M.D.
• John M Ciccone, MD
• Melissa Paige McKeithan Cisa, MD
• Katarzyna Ciszewski, MS, LPC
• William R Clair IV, RPH
• Carrie Clark, PTA

• Family Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.