Individual
JENNY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2801 DEVINE ST STE 101, COLUMBIA, SC 29205-2511
(803) 457-8125
(803) 457-8129
Mailing address
2801 DEVINE ST STE 101, COLUMBIA, SC 29205-2511
(803) 457-8125
(803) 457-8129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20170
SC
Other
Enumeration date
06/08/2016
Last updated
10/30/2024
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