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Individual

SUMMER M JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
8004 MYRTLE TRACE DR STE 200, CONWAY, SC 29526-8945
(843) 347-8041
(843) 347-8042
Mailing address
300 SINGLETON RIDGE RD, ATTN PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
25880
SC
363LF0000X
Family Nurse Practitioner
Primary
25880
SC

Other

Enumeration date
03/08/2022
Last updated
03/28/2022
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