Individual
AVERY LAUREN JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 BRICK KILN PKWY, MOUNT PLEASANT, SC 29466-8759
(518) 763-3714
Mailing address
2028 BRICK KILN PKWY, MOUNT PLEASANT, SC 29466-8759
(518) 763-3714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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