Individual
JASON HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
500 SQUIRES PT STE A, DUNCAN, SC 29334-8867
(864) 968-5126
(864) 968-5128
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21173
SC
Other
Enumeration date
08/14/2017
Last updated
10/22/2025
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