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

Mrs. Jena W. Nickles, PA

Individual provider Surgical Physician Assistant · NPI 1821399106

Mrs. Jena W. Nickles, PA is a Surgical Physician Assistant in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

180 Wingo Way Ste 301
Mt Pleasant, SC 29464-1810
Phone: (843) 884-0302
Fax: (843) 849-9308
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1585 (SC)

Record details

NPI number1821399106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 3, 2010
Last updated in NPPESJanuary 24, 2017

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