Individual
JENNIFER CIANCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
710 JOHNNIE DODDS BLVD STE 101, MT PLEASANT, SC 29464-3045
(630) 292-0297
Mailing address
710 JOHNNIE DODDS BLVD STE 101, MT PLEASANT, SC 29464-3045
(630) 292-0297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19036
SC
363LF0000X
Family Nurse Practitioner
209.011706
IL
Other
Enumeration date
10/04/2015
Last updated
06/10/2020
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