Individual
JEANA NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(834) 915-8800
Mailing address
262 OAK LANDING DR, CONWAY, SC 29527-7787
(843) 283-9807
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
211857
SC
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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