Individual
SARA FRANCES JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 574-5693
(843) 764-4512
Mailing address
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9125
(843) 574-5693
(843) 764-4512
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
664365-1
NY
363L00000X
Nurse Practitioner
Primary
22260
SC
363LA2100X
Acute Care Nurse Practitioner
22260
SC
363LA2100X
Acute Care Nurse Practitioner
F430887
NY
Other
Enumeration date
03/04/2014
Last updated
12/07/2021
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