Individual
JEAN T ISHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
811 W MAIN ST STE 201&209, LEXINGTON, SC 29072-2507
(803) 785-4777
(803) 358-6240
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
3671
SC
Other
Enumeration date
09/22/2005
Last updated
06/14/2021
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