MEDICARE: MRS. JENNIFER L CICCHILLO N.P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	08356	OH
2	363LA2200X	Adult Health Nurse Practitioner	RX08356	OH

General Provider Information

NPI Number	:	1750534509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER L CICCHILLO N.P.C.

Provider Business Mailing Address
First Line	:	PO BOX 100523
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29502-0523
Country	:	US
Telephone Number	:	843-669-5162
Fax Number	:	843-667-4573

Provider Business Practice Location Address
First Line	:	327 AIKEN HUNT CIR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-8407
Country	:	US
Telephone Number	:	843-669-5162
Fax Number	:	843-667-4573

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2008
Last Update Date	:	08/10/2025

Similar Medicare Providers

1528108073 — SOUTH CAROLINA DEPARTMENT OF JUVENILE JUSTICE
Practice Location Address:

100 EXECUTIVE CENTER DR , SANTEE BUILDING SUITE210
COLUMBIA, SC
29210-8407

Practice Phone: 803-896-4751
Practice Fax: 803-896-8473

1861205973 — TAYLOR KERINGTON OLSON PA
Practice Location Address:

115 BLARNEY DR STE 212
COLUMBIA, SC
29223-6291

Practice Phone: 803-254-5171
Practice Fax:

1710378278 — DEANDRA DERONIQUE MORRISON CCC-SLP
Practice Location Address:

1007 N KINGS ST
COLUMBIA, SC
29223-1916

Practice Phone: 803-699-4111
Practice Fax:

1619096393 — DR. SHANIKA LAVI WILSON DSW, LCAS, LCSW
Practice Location Address:

9600 TWO NOTCH RD
COLUMBIA, SC
29223-4304

Practice Phone: 803-310-2774
Practice Fax:

1952304164 — TOTAL REHAB SERVICES, PA
Practice Location Address:

9600 TWO NOTCH RD , STE 24
COLUMBIA, SC
29223-1613

Practice Phone: 803-736-5540
Practice Fax: 803-699-0951

1427059351 — JEFFREY GLENN GROSS M.D.
Practice Location Address:

7620 TRENHOLM ROAD EXT
COLUMBIA, SC
29223-1718

Practice Phone: 803-736-7200
Practice Fax: 803-736-2116

Directions to “ MRS. JENNIFER L CICCHILLO N.P.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.