JENNIFER R DERENDAL LPN
NPI 1023829074
Licensed Practical Nurse in Myrtle Beach, SC

Q: What is Jennifer Derendal's NPI number?

The NPI number for Jennifer Derendal is 1023829074. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Q: What is Jennifer Derendal's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Derendal was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2025

606 CATTLE DRIVE CIR, MYRTLE BEACH, SC 29588(603) 313-7740 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer R Derendal Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER R DERENDAL LPN (NPI 1023829074) is an individual licensed practical nurse in Myrtle Beach, South Carolina, licensed in South Carolina (54820) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1023829074

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJENNIFER R DERENDALCredential: LPN

Location Address606 CATTLE DRIVE CIRMyrtle Beach, SC 29588-3734

Mailing Address606 Cattle Drive CirMyrtle Beach, SC 29588-3734 · (603) 313-7740

Phone(603) 313-7740

Sole ProprietorYes

Enumeration DateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1023829074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in SC · 54820

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

606 CATTLE DRIVE CIR, Myrtle Beach, SC 29588

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Derendal's NPI number?

The NPI number for Jennifer Derendal is 1023829074. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Jennifer Derendal located?

Jennifer Derendal practices at 606 Cattle Drive Cir, Myrtle Beach, SC 29588. The listed phone number is (603) 313-7740.

What is Jennifer Derendal's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Derendal was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.