Individual
MRS. JENNA LEE TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 SHADOWMOSS PKWY, CHARLESTON, SC 29414-6845
(610) 761-7768
Mailing address
100 SHADOWMOSS PKWY, CHARLESTON, SC 29414-6845
(610) 761-7768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10764
CT
363LF0000X
Family Nurse Practitioner
Primary
24668
SC
Other
Enumeration date
02/09/2021
Last updated
11/02/2023
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