JANE MANSFIELD (NPI# 1417374216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417374216 |
| Entity Type | Individual |
| Full Name | JANE MANSFIELD |
| Credential | REGISTERED NURSE |
| Practice Address |
112 Regency Dr Conway SC 29526-9018 |
| Mailing Address |
1705 W Evans St Florence SC 29501-3331 |
| Practice Telephone | 8432340412 |
| Mailing Telephone | 8436614762 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R92661 | SC | Nursing Service Providers |
| Street Address |
112 REGENCY DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366961450 | Frances Cowdrey Long | Registered Nurse | 4804 Boggy Rd, Conway, SC 29526-5849 | 2017-09-11 |
| 1760858278 | Ashonda Bellamy Wilson | Registered Nurse | 1921 Industrial Park Rd, Conway, SC 29526 | 2015-08-19 |
| 1518387281 | June Causey | Registered Nurse | 3956 Long Avenue Ext, Conway, SC 29526-6428 | 2014-04-22 |
| 1265045777 | Stefania Serianni | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2020-08-25 |
| 1790338614 | Susan B Metallo | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2019-07-19 |
| 1982174983 | Kelly Ann Ryder | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-12-03 |
| 1982173209 | Alyssa Gideon | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2018-11-15 |
| 1952708612 | Karrie Dorene Williams | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2014-11-24 |
| 1962803403 | Marnie Johnson | Registered Nurse | 1931 Industrial Park Rd, Conway, SC 29526-5482 | 2014-09-15 |
| 1376943134 | Sheila Watkins-leach | Registered Nurse | 350 Salem Rd, Suite 1, Conway, AR 72034-7525 | 2014-08-29 |
| Find all providers in CONWAY | ||||
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| 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.