Provider Demographics
NPI:1790314524
Name:ERRATO, JENIKA JADE (FNP)
Entity type:Individual
Prefix:
First Name:JENIKA
Middle Name:JADE
Last Name:ERRATO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 OAK FOREST RD STE E
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4988
Mailing Address - Country:US
Mailing Address - Phone:843-368-4010
Mailing Address - Fax:
Practice Address - Street 1:14 OAK FOREST RD STE E
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4988
Practice Address - Country:US
Practice Address - Phone:843-368-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2025-10-15
Deactivation Date:2025-09-09
Deactivation Code:
Reactivation Date:2025-10-02
Provider Licenses
StateLicense IDTaxonomies
GARN272236363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily