Individual
JILLIAN M. SINISCALCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGP-NP
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26354
SC
Other
Enumeration date
07/25/2022
Last updated
09/29/2025
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