Individual
NOEL JUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
2 MEDICAL PARK RD STE 107, COLUMBIA, SC 29203-6839
(803) 434-4480
(803) 434-3340
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005954
KY
367A00000X
Advanced Practice Midwife
Primary
25766
SC
367A00000X
Advanced Practice Midwife
3005954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100053490
—
KY
05
—
7100092780
—
KY
Enumeration date
02/24/2009
Last updated
12/10/2024
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