IndividualActive
Jillian Eaddy, APRN
NPI 1417354473 · Primary Care Nurse Practitioner · Columbia, SC
Provider details
- NPI number
- 1417354473
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 19044 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
111 Doctor Cir
Columbia, SC 29203-6502
Phone: (800) 491-0909
Approximate (ZIP-level) locationGet directions
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.