Individual provider · Type 1 NPI

Jessica Sue Taber, WHCNP-BC

Women's Health Nurse Practitioner · Charleston, SC

NPI number 1174355986 Active

Practice location

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733

Fax (843) 402-2023

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102X36849 (TN)
Women's Health Nurse Practitioner Primary 363LW0102X31406 (SC)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1174355986

Jessica Sue Taber, WHCNP-BC's National Provider Identifier is 1174355986, issued on Aug 19, 2024. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Charleston, SC. The record was last updated on Mar 17, 2026.