Individual
JENNIFER ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 735-5590
Mailing address
106 WESTVIEW DR, GOOSE CREEK, SC 29445-3007
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
216254
SC
363LF0000X
Family Nurse Practitioner
Primary
27614
SC
Other
Enumeration date
08/04/2014
Last updated
09/11/2023
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