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Jason Hennessy, FNP-BC

Nurse Practitioner, Family in Duncan, SC. Individual provider (NPI-1).

NPI number1912423757
StatusActive
Last updated in NPPESOct 22, 2025

Details

NPI
1912423757
Entity type
Individual (NPI-1)
Name
Jason Hennessy
Credential
FNP-BC
Sex
Male
Sole proprietor
No
Enumeration date
Aug 14, 2017
Certification date
Oct 22, 2025
Last updated
Oct 22, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family21173SCYes

Practice location

500 Squires Pt Ste A
Duncan, SC 29334-8867

Phone 864-968-5126 · Fax 864-968-5128

Mailing address

300 E McBee Ave Fl 4
Greenville, SC 29601-2842

Phone 864-695-6697

Other practice locations

1604 N Limestone St
Gaffney, SC 29340-2312

Phone 864-902-1000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Duncan, SC

All 9 Family Nurse Practitioner providers in Duncan · All 191 providers in Duncan

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