Individual
MRS. KRISTEN HEBERT JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2713 DANTZLER DR, CHARLESTON, SC 29406-9005
(843) 764-1722
Mailing address
89 SIMONS ST, CHARLESTON, SC 29403-3715
(832) 205-4386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19430
SC
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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