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Individual
MRS. CHRISTINA JOCKLENE EDWARDS
Active
Individual
MRS. CHRISTINA JOCKLENE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
28779
SC
363L00000X
Nurse Practitioner
Primary
28779
SC
363LA2200X
Adult Health Nurse Practitioner
28779RX
SC
363LP2300X
Primary Care Nurse Practitioner
28779
SC
363LW0102X
Women's Health Nurse Practitioner
28779RX
SC
Other
Enumeration date
07/08/2024
Last updated
09/08/2026
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