Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Rose Halford, PA-C

Individual provider Physician Assistant · NPI 1093521676

Jessica Rose Halford, PA-C is a Physician Assistant in Myrtle Beach, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

931 Medical Cir Ste A
Myrtle Beach, SC 29572-4122
Phone: (843) 945-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Houston St, Lenoir City, TN 37771-8058 — (508) 221-3624

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5774 (SC)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093521676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

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