Individual
STEPHANIE M JOKERST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1032A KINLEY RD, IRMO, SC 29063-9632
(803) 612-0830
Mailing address
1032A KINLEY RD, IRMO, SC 29063-9632
(803) 612-0830
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21174
SC
363LF0000X
Family Nurse Practitioner
21174
SC
Other
Enumeration date
07/25/2017
Last updated
02/07/2022
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