Individual
SANDRA STREISEL JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2000
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19625
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3560
—
SC
01
—
SC73585551
MEDICARE PIN
SC
Enumeration date
08/14/2015
Last updated
07/26/2017
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