Provider Demographics
NPI:1932405891
Name:MCBRAYER, JENNIFER J (APRN, PNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:J
Last Name:MCBRAYER
Suffix:
Gender:F
Credentials:APRN, PNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 SOUTH PIKE WEST
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2664
Mailing Address - Country:US
Mailing Address - Phone:803-774-7337
Mailing Address - Fax:803-774-4629
Practice Address - Street 1:370 SOUTH PIKE WEST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2664
Practice Address - Country:US
Practice Address - Phone:803-774-7337
Practice Address - Fax:803-774-4629
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669885363LP0200X
SC21308363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics