Active NPI
Alexandra Nicole Jennings
- Nurse Practitioner
- Mt Pleasant, SC
National Provider Identifier
1508729328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 31315
- Practice address
- 180 Wingo Way Ste 106
Mt Pleasant, SC 29464-1810 - Phone
- (843) 410-0597
- NPI assigned
- Dec 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 31315 | SC | Primary |
Addresses
Primary practice location
180 Wingo Way Ste 106
Mt Pleasant, SC 29464-1810
Mailing address
305 Salamander CT
Huger, SC 29450-8504
Phone (203) 500-0760
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31315 | SC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1508729328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 SALAMANDER CT",
"city": "HUGER",
"state": "SC",
"postal_code": "294508504",
"telephone_number": "203-500-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 WINGO WAY STE 106",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294641810",
"telephone_number": "843-410-0597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ALEXANDRA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "31315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.