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

Mrs. Jacqueline G Mongeau, APRN

Individual provider Pediatric Nurse Practitioner · NPI 1588483317

Mrs. Jacqueline G Mongeau, APRN is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2024, 2 years ago. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

135 Rutledge Ave # MSC207
Charleston, SC 29425-8903
Phone: (843) 876-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence 29395 (SC)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 29395 (SC)

Record details

NPI number1588483317
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

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 Not indicated
Practice locations2 on file with Medicare

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