Provider Demographics
NPI:1295810646
Name:MESSER, JILL (MSN, APRN, FNP)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:
Last Name:MESSER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1306 BENTLEY CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-3619
Mailing Address - Country:US
Mailing Address - Phone:803-466-2447
Mailing Address - Fax:
Practice Address - Street 1:4416 FOREST DR
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3104
Practice Address - Country:US
Practice Address - Phone:803-738-9522
Practice Address - Fax:803-787-8026
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCF2957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily