Individual
JESSICA HEADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
940 HOLLY ST, ORANGEBURG, SC 29115-4930
(803) 536-2725
Mailing address
4830 HARVEST LN, ORANGEBURG, SC 29118-9470
(803) 614-9342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25928
SC
Other
Enumeration date
03/20/2022
Last updated
03/25/2022
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