Individual provider · Type 1 NPI
Jennings Michael Perry, DNP
Primary Care Nurse Practitioner · Myrtle Beach, SC
NPI number
1851684674
Active
Practice location
1301 48th Ave N # A-2
Myrtle Beach, SC 29577-5427
Mailing address
728 Conifer Ct
Myrtle Beach, SC 29572-4172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 353367 (OH) |
| Family Nurse Practitioner | 363LF0000X | 17756 (OH) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 20499 (SC) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1851684674
Jennings Michael Perry, DNP's National Provider Identifier is 1851684674, issued on May 26, 2011. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 19, 2025.