Individual
MUMTAZ JIWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212249
SC
363LF0000X
Family Nurse Practitioner
Primary
22423
SC
Other
Enumeration date
12/16/2018
Last updated
03/17/2025
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