Provider Demographics
NPI:1447722301
Name:STEINER, JESSICA H (NP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:H
Last Name:STEINER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:MORGAN
Other - Last Name:HAWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:127 BLACKWATER DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-6280
Mailing Address - Country:US
Mailing Address - Phone:843-810-7194
Mailing Address - Fax:
Practice Address - Street 1:374 MYERS RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-8816
Practice Address - Country:US
Practice Address - Phone:843-900-9840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC303661363LP2300X
SC25157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care