Individual
MISSI JAE FIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2550 ELMS CENTER RD, NORTH CHARLESTON, SC 29406-9844
(843) 302-8840
Mailing address
619 RUBY DR, MT PLEASANT, SC 29464-4822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN0355
—
SC
Enumeration date
05/21/2024
Last updated
03/26/2026
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