Jennifer Guillaume, BSN, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

244499 Issued in SC

Practice address

5126 Park Rd Ste 2C
Charlotte, NC 28209-3748

Phone

(704) 247-7281

Fax

(704) 800-5655

NPI assigned

Feb 10, 2026

Last updated

Feb 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liquid Lounge Hydration Dba Ideal Vitality Wellness

  dba Ideal Vitality Wellness

  • Laboratory Management Specialist/Technologist
  • Charlotte, NC
  • NPI 1720930183
  NPD Authorized official

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1881546240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 PARK RD STE 2C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093748",
            "telephone_number": "704-247-7281",
            "fax_number": "704-800-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 PARK RD STE 2C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093748",
            "telephone_number": "704-247-7281",
            "fax_number": "704-800-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLAUME",
        "first_name": "JENNIFER",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "244499",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "244499",
            "primary": true
        },
        {
            "code": "246QL0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Laboratory Management",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "SC",
            "license": "244499",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "SC",
            "license": "244499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guiding Light Support Services LLC
• Guiding Ray Psychological Services, PLLC
• Christopher Michael Guido, MD
• Kennedy M Guidry
• W. Bonner Guilford, M.D.
• Luis Eduardo Guillen-Hernandez, MD
• Stephanie Guillen, LMFTA
• Eve Guiney
• Ashley Claire Guinn, DDS
• Ashley Danielle Guinn, MD

• Community Health Registered Nurse in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.