Individual
JENNIFER GRAHAM LYERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
652 N MATTHEWS RD, LAKE CITY, SC 29560-7008
(843) 374-5119
(843) 374-2713
Mailing address
652 N MATTHEWS RD, LAKE CITY, SC 29560-7008
(843) 374-5119
(843) 374-2713
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
94573
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WS0200X
—
SC
Enumeration date
07/30/2013
Last updated
07/30/2013
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