| Miss Elizabeth Ann Holloway Jensen, DNP, FNP-BC,PMHNP-BC | |
|
403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | |
| (843) 761-8282 | |
| (843) 761-7308 |
| Full Name | Miss Elizabeth Ann Holloway Jensen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 403 Stony Landing Rd, Moncks Corner, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548230220 | NPI | - | NPPES |
| 435201 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4350 (South Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4350 (South Carolina) | Primary |
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356397228 PECOS PAC ID: 9032021175 Enrollment ID: O20040303000705 |
| Entity Name | Sunrise Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497234223 PECOS PAC ID: 4789922154 Enrollment ID: O20190208002726 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Elizabeth Ann Holloway Jensen, DNP, FNP-BC,PMHNP-BC 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 Ph: (843) 761-8282 | Miss Elizabeth Ann Holloway Jensen, DNP, FNP-BC,PMHNP-BC 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 Ph: (843) 761-8282 |
Mrs. Suzanne Morris Blakeley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 843-761-8272 | |
Mrs. Helene Marchand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Highway 52, Suite 8, Moncks Corner, SC 29461 Phone: 843-899-9420 Fax: 843-899-9421 | |
Allison M. Krakeel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 459 N Highway 52, Moncks Corner, SC 29461 Phone: 843-899-3870 Fax: 843-899-3877 | |
Monique D Simon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 Stony Landing Rd, Moncks Corner, SC 29461 Phone: 843-761-8282 Fax: 843-761-7308 | |
Anacorita Ellisor, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 Airport Dr, Moncks Corner, SC 29461 Phone: 304-429-1088 | |
Elizabeth Dawn Glauser, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 459 N Highway 52, Moncks Corner, SC 29461 Phone: 843-899-3870 | |
Mrs. Kathleen Marie Lance, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 N Highway 52, Suite #8, Moncks Corner, SC 29461 Phone: 843-899-9420 Fax: 843-899-9421 |