MRS. JACQUELINE MICHELE HEADLEY BSN RN
NPI 1215531280
Registered Nurse - Community Health in Myrtle Beach, SC

Q: What is Jacqueline Headley's NPI number?

The NPI number for Jacqueline Headley is 1215531280. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Q: What is Jacqueline Headley's specialty?

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

Active since November 30, 2020

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

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mrs. Jacqueline Michele Headley Bsn Rn NPPES

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

MRS. JACQUELINE MICHELE HEADLEY BSN RN (NPI 1215531280) is an individual community health provider in Myrtle Beach, South Carolina, licensed in South Carolina (244146) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1215531280

Entity TypeIndividualFemale

Primary Taxonomy163WC1500X

Provider Legal NameMRS. JACQUELINE MICHELE HEADLEYCredential: BSN RN

Location Address700 21ST AVE NMyrtle Beach, SC 29577-7400

Mailing Address2887 Ophelia WayMyrtle Beach, SC 29577-6784 · (734) 621-3158

Phone(843) 448-8407

Sole ProprietorYes

Enumeration DateNovember 30, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1215531280 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 · 244146

700 21ST AVE N, Myrtle Beach, SC 29577

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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.

KIMERON MCCALLUM MISHOE RN

Registered Nurse