Individual provider · Type 1 NPI
Jessica Rose Halford, PA-C
Medical Physician Assistant · Myrtle Beach, SC
NPI number
1093521676
Active
Practice location
931 Medical Cir Ste A
Myrtle Beach, SC 29572-4122
Mailing address
355 Castle Dr
Myrtle Beach, SC 29579-6000
Other practice locations
- 121 Houston St, Lenoir City, TN 37771-8058 · (508) 221-3624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 5774 (SC) |
Medical Physician Assistant: Definition to come...
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About NPI 1093521676
Jessica Rose Halford, PA-C's National Provider Identifier is 1093521676, issued on Dec 9, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 10, 2025.