Search › South Carolina › 363AS0400X
Jenna Roller, PA-C
NPI 1548509052 · on the registry since 2013
Practice
- Address
- 15 Moss Creek Vlg
Hilton Head, SC 29926 - Phone
- (843) 681-5077
- Fax
- (843) 681-5012
- Organisation at this address
- Todd E Johnson Md Pa
Cora South Carolina LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 15 Moss Creek Vlg, Hilton Head, SC
- 149 Riverwalk Blvd Ste 3/4, Ridgeland, SC
- 305 Hospital Dr, Glen Burnie, MD
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 207X00000X
- Licence states on file
- SC, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina