Individual
JESSICA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 W LUCAS ST, FLORENCE, SC 29501-1225
(843) 773-1444
(843) 890-4564
Mailing address
1601 W LUCAS ST, FLORENCE, SC 29501-1225
(843) 773-1444
(843) 890-4564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26510
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8958
—
SC
Enumeration date
09/14/2022
Last updated
04/08/2025
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