Healthcare Provider Details

I. General information

NPI: 1215864798
Provider Name (Legal Business Name): JESSICA GARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 INDIA HOOK RD
ROCK HILL SC
29732-3270
US

IV. Provider business mailing address

2450 INDIA HOOK RD
ROCK HILL SC
29732-3270
US

V. Phone/Fax

Practice location:
  • Phone: 803-366-7443
  • Fax:
Mailing address:
  • Phone: 803-366-7443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32444
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: