Provider Demographics
NPI:1336544998
Name:JESSICA L KURPIS
Entity Type:Organization
Organization Name:JESSICA L KURPIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OCCUPATIONAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KURPIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L, CSRS
Authorized Official - Phone:843-368-1951
Mailing Address - Street 1:34 WHEATFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-5886
Mailing Address - Country:US
Mailing Address - Phone:843-705-8224
Mailing Address - Fax:843-705-1096
Practice Address - Street 1:3039 OKATIE HWY
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-5101
Practice Address - Country:US
Practice Address - Phone:843-705-8224
Practice Address - Fax:843-705-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2534314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility