JENNIFER THERESA POLING RN
NPI 1205463643
Registered Nurse - Community Health in Myrtle Beach, SC

Active since March 25, 2020
700 21ST AVE N, MYRTLE BEACH, SC 29577(843) 448-8407 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jennifer Theresa Poling Rn NPPES

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

JENNIFER THERESA POLING RN (NPI 1205463643) is an individual community health provider in Myrtle Beach, South Carolina, licensed in South Carolina (253912) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1205463643
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameJENNIFER THERESA POLINGCredential: RN
Location Address700 21ST AVE NMyrtle Beach, SC 29577-7400
Mailing Address2072 Borgata LoopLongs, SC 29568-5756 · (443) 463-5599
Sole ProprietorYes
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
NPI 1205463643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in SC · 253912
700 21ST AVE N, Myrtle Beach, SC 29577

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
700 21ST AVE N
MYRTLE BEACH, SC 29577
Registered Nurse (Community Health)
700 21ST AVE N
MYRTLE BEACH, SC 29577
Registered Nurse
700 21ST AVE N
MYRTLE BEACH, SC 29577
Registered Nurse (Community Health)
700 21ST AVE N
MYRTLE BEACH, SC 29577
Licensed Practical Nurse
700 21ST AVE N
MYRTLE BEACH, SC 29577
Registered Nurse (Community Health)
700 21ST AVE N
MYRTLE BEACH, SC 29577
Registered Nurse (Community Health)
700 21ST AVE N
MYRTLE BEACH, SC 29577
Dietitian, Registered
700 21ST AVE N
MYRTLE BEACH, SC 29577

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 Poling's NPI number?

The NPI number for Jennifer Poling is 1205463643. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Jennifer Poling located?

Jennifer Poling practices at 700 21st Ave N, Myrtle Beach, SC 29577. The listed phone number is (843) 448-8407.

What is Jennifer Poling's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Jennifer Poling was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.