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Individual

EMILY KATE JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
435 MARINA DR, GEORGETOWN, SC 29440-2410
(843) 833-8595
Mailing address
302 GROVE ST, CHARLESTON, SC 29403-3540
(843) 864-6080

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22798
SC

Other

Enumeration date
04/12/2019
Last updated
04/12/2019
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