Mrs Jacqueline Imogene Conder, ACNP CS CCRN - Nurse Practitioner in Columbia, SC

Mrs Jacqueline Imogene Conder, ACNP CS CCRN is a Nurse Practitioner based in Columbia, South Carolina. Mrs Jacqueline Imogene Conder is licensed to practice in South Carolina (license number 959) and her current practice location is 166 Stoneridge Drive, Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 461-3000.

NPI number for Mrs Jacqueline Imogene Conder is 1477688356 and her current mailing address is Po Box 2046, West Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477688356.

Contact Information

Mrs Jacqueline Imogene Conder, ACNP CS CCRN
166 Stoneridge Drive,
Columbia, SC 29210
(803) 461-3000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Imogene Conder
GenderFemale
SpecialityNurse Practitioner
Location166 Stoneridge Drive, Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477688356
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jacqueline Imogene Conder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477688356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 959 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Imogene Conder is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacqueline Imogene Conder, ACNP CS CCRN
Po Box 2046,
West Columbia, SC 29171

Ph: (803) 461-3000
Mrs Jacqueline Imogene Conder, ACNP CS CCRN
166 Stoneridge Drive,
Columbia, SC 29210

Ph: (803) 461-3000

Reviews and Comments


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