| Mrs Jena W Nickles, PA | |
|
180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 | |
| (843) 884-0302 | |
| (843) 849-9308 |
| Full Name | Mrs Jena W Nickles |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 180 Wingo Way, Mt Pleasant, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821399106 | NPI | - | NPPES |
| 1076PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1585 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jena W Nickles, PA Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Mrs Jena W Nickles, PA 180 Wingo Way, Suite 301, Mt Pleasant, SC 29464-1810 Ph: (843) 884-0302 |
Mr. Mark S Principe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 180 Wingo Way, Suite 304, Mt Pleasant, SC 29464 Phone: 843-884-8045 Fax: 843-881-5081 | |
Carita Kiely Penno, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 631 Johnnie Dodds Blvd, Mt Pleasant, SC 29464 Phone: 843-881-0815 | |
Brian R Obenza, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 180 Wingo Way, Suite 204, Mt Pleasant, SC 29464 Phone: 843-534-1770 Fax: 843-534-1767 | |
Ms. Morgan Floyd Hodges, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1241 Woodland Ave, Mt Pleasant, SC 29464 Phone: 843-654-7229 | |
Ms. Allison Marie Lester, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 745 Chatter Rd, Mt Pleasant, SC 29464 Phone: 843-345-6721 | |
John J Vollmer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3510 Highway 17 Byp N Ste 105, Mt Pleasant, SC 29466 Phone: 843-789-8250 Fax: 843-724-2551 | |
Mrs. Carolyn Ann Koster Hyatt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1106 Chuck Dawley Blvd, Mt Pleasant, SC 29464 Phone: 843-849-1551 |