JENNIFER THERESA POLING (NPI# 1205463643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205463643 |
| Entity Type | Individual |
| Full Name | JENNIFER THERESA POLING |
| Credential | RN |
| Practice Address |
700 21st Ave N Myrtle Beach SC 29577-7400 |
| Mailing Address |
2072 Borgata Loop Longs SC 29568-5756 |
| Practice Telephone | 8434488407 |
| Mailing Telephone | 4434635599 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
253912 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563226 | Jennifer Lynn Poling | Counselor | 45 N Canfield Niles Rd, Austintown, OH 44515-2343 | 2018-06-26 |
| Street Address |
700 21ST AVE N |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336565357 | Donna Cartrette | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| 1407480940 | Amy Root | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-02-24 |
| 1194355701 | Kimberly Thomas Gaughan | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-01-22 |
| 1497160485 | Lori Murphy | Dietitian, Registered | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-06-27 |
| 1316366578 | Rita Windes | Licensed Practical Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-04-15 |
| 1750707675 | Timea Meszaros | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-17 |
| 1093131005 | Paul A Repik | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975862 | Katherine H Alford | Registered Nurse | 961 Old Bridge Rd, Myrtle Beach, SC 29572-5729 | 2019-01-03 |
| 1902387509 | Amy Shockley | Registered Nurse | 5141 Morning Frost Pl, Myrtle Beach, SC 29579-3577 | 2018-08-22 |
| 1679010615 | Brittany Denise Arrington | Registered Nurse | 232 Shoreward Dr, Myrtle Beach, SC 29579-5146 | 2017-01-29 |
| 1336565357 | Donna Cartrette | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| 1407480940 | Amy Root | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2020-02-24 |
| 1376963553 | Elaine Zachary | Registered Nurse | 800 21st Ave N, Myrtle Beach, SC 29577-7424 | 2014-04-25 |
| 1750707675 | Timea Meszaros | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-17 |
| 1093131005 | Paul A Repik | Registered Nurse | 700 21st Ave N, Myrtle Beach, SC 29577-7400 | 2014-03-14 |
| 1548593122 | Brenda Anne Hewitt | Registered Nurse | 4022 Postal Way, Myrtle Beach, SC 29579-3537 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935153 | Quinterria Tenicia Wilson | Registered Nurse | 1110 Malone Ferguson Rd, Garnett, SC 29922-5806 | 2020-09-07 |
| 1740806777 | Lynn Turner Mounir | Registered Nurse | 3504 Woodcone Trl, Anderson, SC 29624-4813 | 2020-06-25 |
| 1598381964 | Takasha Blassingame | Registered Nurse | 118 Camden Dr, Piedmont, SC 29673-9227 | 2020-06-22 |
| 1851915292 | Joey Marie Tan | Registered Nurse | 307 Fairview Lake Way, Simpsonville, SC 29680-7151 | 2020-06-02 |
| 1285256842 | Kala Marissa Elamparo | Registered Nurse | 112 Mitford Way, Fountain Inn, SC 29644-2228 | 2020-05-17 |
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1861014698 | Brenda Angelique Baldwin | Registered Nurse | 158 Beverly Cir, Liberty, SC 29657-8933 | 2020-05-14 |
| 1598387656 | Denise Louise Gasper | Registered Nurse | 107b Lee Ln, Florence, SC 29501-6434 | 2020-05-12 |
| 1679195929 | Lena Marie Jones | Registered Nurse | 400 Delphi Dr, Seneca, SC 29672-6725 | 2020-05-09 |
| 1487275913 | Tashara Anderson | Registered Nurse | 107 Old Oak Dr, Greenwood, SC 29649-1331 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
Please comment or provide details below to improve the information on JENNIFER THERESA POLING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.