Individual
LINDSEY BROOKE JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Mailing address
111 DOCTOR CIR, COLUMBIA, SC 29203-6502
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20696
SC
363LF0000X
Family Nurse Practitioner
5009387
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4438
—
SC
Enumeration date
01/13/2017
Last updated
11/03/2022
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