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NPI Code Detail

MEDICARE: MS. JENNA KATHERINE ALMOND

MEDICARE: MS. JENNA KATHERINE ALMOND
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
1363A00000XPhysician AssistantPA.9635CO
2363A00000XPhysician AssistantMPA.5085PASC

General Provider Information

NPI Number : 1114605078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNA KATHERINE ALMOND
Provider Business Mailing Address
First Line : 6400 OAKRIDGE RD
Second Line :
City : CLOVER
State : SC
Zip : 29710-8313
Country : US
Telephone Number : 704-942-8232
Fax Number :
Provider Business Practice Location Address
First Line : 120 GATEWAY CORPORATE BLVD
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-9611
Country : US
Telephone Number : 803-865-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 03/09/2026

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Directions to “ MS. JENNA KATHERINE ALMOND ” Practice Location

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