Organization
VISIBLE RESULTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER LACHICOTTE FNP (PRESIDENT)
(843) 237-5593
Entity
Organization
Contact information
Practice address
10555 OCEAN HWY, SUITE C, PAWLEYS ISLAND, SC 29585-6613
(843) 237-5593
(843) 314-3223
Mailing address
10555 OCEAN HWY, SUITE C, PAWLEYS ISLAND, SC 29585-6613
(843) 237-5593
(843) 314-3223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54-00597
SC
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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