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Individual

DEBORAH JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 536-4900
Mailing address
7 FOX RUN CT, ORANGEBURG, SC 29118-9793
(803) 596-9396

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25898
SC

Other

Enumeration date
02/25/2020
Last updated
05/16/2022
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