Provider Demographics
NPI:1114774312
Name:HELMLY, MARGIE JENNIFER (FNP-C)
Entity type:Individual
Prefix:
First Name:MARGIE
Middle Name:JENNIFER
Last Name:HELMLY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JENI
Other - Middle Name:
Other - Last Name:HELMLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:P O BOX 23321
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087
Mailing Address - Country:US
Mailing Address - Phone:843-826-6102
Mailing Address - Fax:
Practice Address - Street 1:1175 COOK RD STE 215
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-8201
Practice Address - Country:US
Practice Address - Phone:803-395-3844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28428363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily