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JACK ALLAN STAUFFER FNP
NPI 1396703740
Nurse Practitioner - Family in Summerville, SC

Active since May 03, 2006
435 N CEDAR ST, SUMMERVILLE, SC 29483(843) 873-1592(843) 820-3373 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2016, Feb 29, 2016 (2 updates tracked since 2016).

About Jack Allan Stauffer Fnp NPPES

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

JACK ALLAN STAUFFER FNP (NPI 1396703740) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (629) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1396703740
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACK ALLAN STAUFFERCredential: FNP
Location Address435 N CEDAR STSummerville, SC 29483-6407
Mailing Address201 Sigma Dr, Ste 100Summerville, SC 29486-7715 · (843) 554-8312 · Fax (843) 554-5141
Phone(843) 873-1592
Fax(843) 820-3373
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration
✔ NPI 1396703740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 629
435 N CEDAR ST, Summerville, SC 29483
Open in Google Maps ↗

Other Identifiers 17

Medicare PINSC46486868SC
Medicare PINSC46487819SC
Medicare PINSC46486882SC
Medicare PINSC46485282SC
OtherP00851396SC · Rr Medicare Ptan
Medicare PINSC46487499SC
Medicare PINQ319037522SC
Medicare PINSC46488798SC
Medicare PINSC46487006SC
Medicare UPINQ31903SC
Medicare PINSC46486834SC
Medicare PINSC46487498SC
Medicare PINSC46487555SC
Medicare PINSC46485281SC
Medicare PINSC46485277SC
MedicaidNP0021SC
Medicare PINSC46487126SC

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.

PALMETTO PRIMARY CARE PHYSICIANS, LLC
Family Medicine
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
SHIRLEY L HO PA
Physician Assistant
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
BRIAN KEITH KELLER MD
Family Medicine
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
MISS ROBIN JOSEPH M.ED.
Counselor (Professional)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
FRANCES C WELCH PHD
Psychologist (Clinical)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592
CASEY ANNA WETHERELL PA
Physician Assistant (Medical)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 476-4702
SOUTHERN COAST SPINE & PAIN SPECIALISTS LLC
Anesthesiology (Pain Medicine)
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 476-4702
CLARENCE WILLIAM WIMBERLY JR. MD
Family Medicine
435 N CEDAR ST
SUMMERVILLE, SC 29483
Berkeley County (843) 873-1592

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 Jack Stauffer's NPI number?

The NPI number for Jack Stauffer is 1396703740. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jack Stauffer located?

Jack Stauffer practices at 435 N Cedar St, Summerville, SC 29483. The listed phone number is (843) 873-1592.

What is Jack Stauffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jack Stauffer was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.