Individual provider · Type 1 NPI

Connor Michael Jansen, PA-C

Physician Assistant · Myrtle Beach, SC

NPI number 1245051812 Active

Practice location

210 Village Center Blvd Ste 200
Myrtle Beach, SC 29579-6706

Call (843) 353-3460 Map

Fax (843) 353-3461

Mailing address

210 Village Center Blvd Ste 140
Myrtle Beach, SC 29579-6706

Other practice locations

  • 1621 Highway 17 N, North Myrtle Beach, SC 29582-2229 · (843) 353-3460

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10004566A (IN)
Physician Assistant Primary 363A00000X6030 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245051812

Connor Michael Jansen, PA-C's National Provider Identifier is 1245051812, issued on Oct 17, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Nov 14, 2025.