Individual
ALEXANDRA NICOLE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 WINGO WAY STE 106, MT PLEASANT, SC 29464-1810
(843) 410-0597
Mailing address
305 SALAMANDER CT, HUGER, SC 29450-8504
(203) 500-0760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
31315
SC
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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