Individual
DIANNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 FOREST DR, 7TH FLOOR, COLUMBIA, SC 29204-2026
(803) 454-2613
Mailing address
PO BOX 1467, 7TH FLOOR, COLUMBIA, SC 29202-1467
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
554
SC
Other
Enumeration date
03/24/2006
Last updated
06/15/2021
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