Robinson, Jessica Bannister

Robinson, Jessica Bannister is an individual health care provider with primary practice located at 12 W South St , Manning SC 29102-2925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Robinson, Jessica Bannister can be contacted via phone (803) 433-4124.

Contact Information

Primary practice address
12 W South St Manning SC 29102-2925
Phone: (803) 433-4124
Fax: (803) 433-4230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2446 South Carolina

Profile Details

NPI number 1124493200
LBN Legal business name Robinson, Jessica Bannister
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2015
Last updated Apr 29th, 2024 - about 2 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 1124493200 NPPES
South Carolina MEDICAID 2446PA

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