Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jessica Sue Taber, WHCNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1174355986

Miss. Jessica Sue Taber, WHCNP-BC is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in South Carolina and Tennessee.

Years since qualifying
2
Licensed in
SC, TN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone: (843) 402-2028
Fax: (843) 402-2023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 31406 (SC)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence 36849 (TN)

Record details

NPI number1174355986
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHCNP-BC
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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