Active NPI
Amy Jardin
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, SC
National Provider Identifier
1972429470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 32239
- Practice address
- 29 Leinbach Dr Ste D2
Charleston, SC 29407-7086 - Phone
- (843) 604-4577
- NPI assigned
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 32239 | SC | Primary |
Addresses
Primary practice location
29 Leinbach Dr Ste D2
Charleston, SC 29407-7086
Mailing address
29 Leinbach Dr Ste D2
Charleston, SC 29407-7086
Phone (843) 604-4577
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1972429470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LEINBACH DR STE D2",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077086",
"telephone_number": "843-604-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LEINBACH DR STE D2",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077086",
"telephone_number": "843-604-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDIN",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "SC",
"license": "32239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.