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MRS. JENA W. NICKLES PA
NPI 1821399106
Physician Assistant - Surgical in Mt Pleasant, SC

Active since November 03, 2010
180 WINGO WAY, SUITE 301, MT PLEASANT, SC 29464(843) 884-0302(843) 849-9308 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jena W. Nickles Pa NPPES

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

MRS. JENA W. NICKLES PA (NPI 1821399106) is an individual surgical provider in Mt Pleasant, South Carolina, licensed in South Carolina (1585) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1821399106
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. JENA W. NICKLESCredential: PA
Location Address180 WINGO WAY, SUITE 301Mt Pleasant, SC 29464-1810
Mailing AddressPo Box 751649Charlotte, NC 28275-1649 · (843) 789-1620 · Fax (843) 724-2440
Phone(843) 884-0302
Fax(843) 849-9308
Sole ProprietorNo
Enumeration DateNovember 3, 2010
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1821399106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 1585
180 WINGO WAY, Mt Pleasant, SC 29464
Open in Google Maps ↗

Other Names 1

Former Name (1)Jena M. Weaver

Other Identifiers 2

Medicare PINAA59309223SC
Medicaid1076PASC

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL MIKOLA MD
Internal Medicine
180 WINGO WAY, STSE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
MR. MARK S PRINCIPE PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 304
MT PLEASANT, SC 29464
Charleston County (843) 884-8045
BRIAN R OBENZA PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 204
MT PLEASANT, SC 29464
Charleston County (843) 534-1770
CHARLESTON CANCER CENTER
Internal Medicine (Hematology & Oncology)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Charleston County (843) 572-9211
MR. JESSE WILLIAM PRICE III PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
MRS. NICOLE PERRIN KETCHIN PAC
Physician Assistant (Medical)
180 WINGO WAY, SUITE 307
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA
Surgery (Plastic and Reconstructive Surgery)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Charleston County (843) 884-1400
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Surgery
180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464
Charleston County (843) 881-2423

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 Jena Nickles's NPI number?

The NPI number for Jena Nickles is 1821399106. It was assigned to this individual provider in the NPPES registry on November 3, 2010. The provider is also known as Jena M. Weaver.

Where is Jena Nickles located?

Jena Nickles practices at 180 Wingo Way Suite 301, Mt Pleasant, SC 29464. The listed phone number is (843) 884-0302.

What is Jena Nickles's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jena Nickles was last updated on January 24, 2017. 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.