Jennifer Ann McQuillen, LNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0017000701 Issued in SC

Practice address

7735 Farr St Apt 602
Daniel Island, SC 29492-6405

Phone

(540) 336-8512

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1710039425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 FARR ST APT 602",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294926405",
            "telephone_number": "540-336-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 FARR ST APT 602",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294926405",
            "telephone_number": "540-336-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUILLEN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0017000701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "0017000701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L McCarter, MD
• Bright McConnell III, MD
• Brett P McCoy
• Carson McFarland
• Bradley Eugene McLain, LPC, NCC
• Method Health Center, LLC
• Paige Emory Milavickas, D.P.T.
• Tara D Miller, D.C.
• Scott Nelson Mohler, PH.D.
• Molina Healthcare of South Carolina, Inc.

• Family Nurse Practitioner in Daniel Island, SC
• Providers in Daniel Island, 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 Aug 4, 2011; 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.