Individual
MRS. CICELY W JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,B.C.
Contact information
Practice address
THOMSON STUDENT HEALTH CTR, UNIVERSITY OF SOUTH CAROLINA, COLUMBIA, SC 29208-0001
(803) 777-3669
(803) 777-0126
Mailing address
6045 CEDARIDGE RD, COLUMBIA, SC 29206-4301
(803) 787-1513
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
20552
SC
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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