Individual
CARLETT NICOLE JETHROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(866) 389-2727
Mailing address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26137
SC
Other
Enumeration date
06/15/2022
Last updated
07/18/2022
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