Quinn, Jada C

Quinn, Jada C is an individual health care provider with primary practice located at 4100 N Main St Ste 201, Columbia SC 29203-5800. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Quinn, Jada C can be contacted via phone (803) 786-1795.

Contact Information

Primary practice address
4100 N Main St Ste 201 Columbia SC 29203-5800
Phone: (803) 786-1795
Fax: (803) 786-6452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4132 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4132 South Carolina
Nursing Service Providers / Registered Nurse 163W00000X 4132 South Carolina

Profile Details

NPI number 1174813323
LBN Legal business name Quinn, Jada C
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2011
Last updated Oct 5th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174813323 NPPES
South Carolina Other AA82077370 MEDICARE PTAN

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