Jacqueline G. Stephens, PHD, APRN, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

23281 Issued in SC

Practice address

406 S Railroad Ave
Lamar, SC 29069-2906

Phone

(843) 260-8687

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1821649344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S RAILROAD AVE",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "29069",
            "telephone_number": "843-260-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S RAILROAD AVE",
            "city": "LAMAR",
            "state": "SC",
            "postal_code": "290692906",
            "telephone_number": "843-260-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "JACQUELINE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "23281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cummings Parnell, RN
• Piggly Wiggly of Lamar LLC (Piggly Wiggly Pharmacy #196)
• Piggly Wiggly Retail Stores, Inc. (Piggly Wiggly Pharmacy #112)
• Kendall Shelby Rivers
• Jim Sandlin, RPH
• Tony Skorput, PA (Skorput Rehabilitation & Wellness)
• April Watford
• Wes Corporation, Inc. (Omnipresent Adult Day Care)

• Primary Care Nurse Practitioner in Lamar, SC
• Providers in Lamar, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.