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MRS. JESSICA CRUZ LPN
NPI 1710857123
Licensed Practical Nurse in Ridgeland, SC

Active since November 10, 2025
124 BOARDWALK DR STE A, RIDGELAND, SC 29936(843) 645-2770 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jessica Cruz Lpn NPPES

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

MRS. JESSICA CRUZ LPN (NPI 1710857123) is an individual licensed practical nurse in Ridgeland, South Carolina, licensed in South Carolina (54453) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1710857123
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. JESSICA CRUZCredential: LPN
Location Address124 BOARDWALK DR STE ARidgeland, SC 29936-7994
Mailing Address102 Saluda WayBeaufort, SC 29906-6043 · (843) 441-8492
Phone(843) 645-2770
Sole ProprietorNo
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1710857123 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 · 54453
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.
124 BOARDWALK DR STE A, Ridgeland, SC 29936
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Other Providers at the Same Location NPPES 8

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

MARK ALAN SIAR
Counselor (Addiction (Substance Use Disorder))
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770
DAVID GRAY CACP
Counselor (Addiction (Substance Use Disorder))
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770
SHEILA ANNE MCGRATH
Pharmacist
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770
SOUTH CAROLINA CTC, LLC
Clinic/Center (Methadone)
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (760) 710-0968
KATHRYN VICTORIA FOLDS CO60904245
Counselor (Addiction (Substance Use Disorder))
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770
RECOVERY CONCEPTS LLC
Clinic/Center (Methadone)
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770
MARCELLA MORALES
Counselor (Addiction (Substance Use Disorder))
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770
JARCELLA BURDEN
Counselor (Addiction (Substance Use Disorder))
124 BOARDWALK DR STE A
RIDGELAND, SC 29936
Jasper County (843) 645-2770

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 Cruz's NPI number?

The NPI number for Jessica Cruz is 1710857123. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Jessica Cruz located?

Jessica Cruz practices at 124 Boardwalk Dr Ste A, Ridgeland, SC 29936. The listed phone number is (843) 645-2770.

What is Jessica Cruz'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 Jessica Cruz was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.