Jenna Elizabeth Roller, PA-C | |
15 Moss Creek Vlg, Hilton Head, SC 29926-1105 | |
(843) 681-5077 | |
(843) 681-5012 |
Full Name | Jenna Elizabeth Roller |
---|---|
Gender | Female |
Speciality | Physician Assistant - Surgical |
Location | 15 Moss Creek Vlg, Hilton Head, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548509052 | NPI | - | NPPES |
11011359 | Other | NCCPA | |
C0004965 | Other | MARYLAND BOARD OF PHYSICIANS | |
2950 | Other | SC | SC PA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2950 (South Carolina) | Secondary |
363AS0400X | Physician Assistant - Surgical | C0004965 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jenna Elizabeth Roller, PA-C 7419 Kimbark Ct, Apt. E, Rosedale, MD 21237-3736 Ph: (610) 417-0273 | Jenna Elizabeth Roller, PA-C 15 Moss Creek Vlg, Hilton Head, SC 29926-1105 Ph: (843) 681-5077 |
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