Individual
MRS. JENNIFER LYNN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1137 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-3360
(800) 427-1902
(419) 531-2664
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-2615
(800) 427-1902
(419) 531-2664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19840
SC
Other
Enumeration date
11/02/2015
Last updated
07/21/2022
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