Mrs Jacqueline Michele Headley, BSN RN - Registered Nurse in Myrtle Beach, SC

Mrs Jacqueline Michele Headley, BSN RN is a Registered Nurse - Community Health based in Myrtle Beach, South Carolina. Mrs Jacqueline Michele Headley is licensed to practice in South Carolina (license number 244146) and her current practice location is 700 21st Ave N, Myrtle Beach, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 448-8407.

NPI number for Mrs Jacqueline Michele Headley is 1215531280 and her current mailing address is 2887 Ophelia Way, Myrtle Beach, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215531280.

Contact Information

Mrs Jacqueline Michele Headley, BSN RN
700 21st Ave N,
Myrtle Beach, SC 29577-7400
(843) 448-8407
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Michele Headley
GenderFemale
SpecialityRegistered Nurse - Community Health
Location700 21st Ave N, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215531280
  • Provider Enumeration Date: 11/30/2020
  • Last Update Date: 11/30/2020

Medical Identifiers

Medical identifiers for Mrs Jacqueline Michele Headley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215531280NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health 244146 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Michele Headley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacqueline Michele Headley, BSN RN
2887 Ophelia Way,
Myrtle Beach, SC 29577-6784

Ph: (734) 621-3158
Mrs Jacqueline Michele Headley, BSN RN
700 21st Ave N,
Myrtle Beach, SC 29577-7400

Ph: (843) 448-8407

Reviews and Comments


Registered Nurse Nurses in Myrtle Beach, SC

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Paul A Repik, RN
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Practice Location: 700 21st Ave N, Myrtle Beach, SC 29577
Phone: 843-448-8407    Fax: 843-448-7499
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Medicare: Not Enrolled in Medicare
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Phone: 919-606-2002    
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Medicare: Accepting Medicare Assignments
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Stephanie Ann Trombley,
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Medicare: Not Enrolled in Medicare
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