Individual
JAMIE LYNN LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N SUMTER ST STE 320, SUMTER, SC 29150-4975
(803) 774-6824
(803) 774-8977
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8769
—
SC
Enumeration date
11/10/2021
Last updated
01/24/2023
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