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JESSICA BASSO ANTONELLI NP
NPI 1689230419
Nurse Practitioner - Family in Summerville, SC

Active since May 16, 2019
218 BRIGHTON PARK BLVD STE 101, SUMMERVILLE, SC 29486(843) 471-1135 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2025, May 16, 2019 (2 updates tracked since 2019).

About Jessica Basso Antonelli Np NPPES

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

JESSICA BASSO ANTONELLI NP (NPI 1689230419) is an individual family provider in Summerville, South Carolina, licensed in South Carolina (23277) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1689230419
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA BASSO ANTONELLICredential: NP
Location Address218 BRIGHTON PARK BLVD STE 101Summerville, SC 29486-3013
Mailing Address3062 Grinnell StJohns Island, SC 29455-4950 · (410) 499-4157
Phone(843) 471-1135
Sole ProprietorNo
Enumeration DateMay 16, 2019
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1689230419 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
Licenses✔ Licensed in SC · 23277✔ Licensed in NY · 344143
218 BRIGHTON PARK BLVD STE 101, Summerville, SC 29486
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Other Providers at the Same Location NPPES 5

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

MELANIE GRIFFITH NP
Nurse Practitioner (Family)
218 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486
Berkeley County (843) 471-1135
CRAIG BLUM PC
Surgery (Plastic and Reconstructive Surgery)
218 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486
Berkeley County (843) 471-1135
DANA LYNN EY APRN, FNP-BC
Nurse Practitioner
218 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486
Berkeley County (843) 264-7973
DENNIS SCHIMPF PC
Surgery (Plastic and Reconstructive Surgery)
218 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486
Berkeley County (843) 471-1135
DR. KAILYN M WILCOX M.D.
Plastic Surgery
218 BRIGHTON PARK BLVD STE 101
SUMMERVILLE, SC 29486
Berkeley County (843) 264-7973

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 Jessica Antonelli's NPI number?

The NPI number for Jessica Antonelli is 1689230419. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Jessica Antonelli located?

Jessica Antonelli practices at 218 Brighton Park Blvd Ste 101, Summerville, SC 29486. The listed phone number is (843) 471-1135.

What is Jessica Antonelli'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 Jessica Antonelli was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.