Individual
SHELIDONNA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
370 LOG BRANCH RD, BAMBERG, SC 29003-8462
(803) 245-5176
(803) 245-5371
Mailing address
370 LOG BRANCH RD, BAMBERG, SC 29003-8462
(803) 245-5176
(803) 245-5371
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P9302
SC
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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