Individual
MISS JESSICA SUE TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP-BC
Contact information
Practice address
2095 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-5733
(843) 402-2028
(843) 402-2023
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
31406
SC
363LW0102X
Women's Health Nurse Practitioner
36849
TN
Other
Enumeration date
08/19/2024
Last updated
03/17/2026
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