Individual
JENNA AVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 S PIKE W, SUMTER, SC 29150-2664
(803) 774-4500
Mailing address
550 S PIKE W, SUMTER, SC 29150-2616
(803) 774-4500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
30100
SC
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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