Individual
JENNIFER SUZANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CEN
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2010
Mailing address
262 STEFAN DR APT B, CHARLESTON, SC 29412-2481
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
233098
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233098
SC LLR
SC
Enumeration date
05/12/2020
Last updated
05/12/2020
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