Individual
AQUANETTA L NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 N MATTHEWS RD, LAKE CITY, SC 29560-7024
(843) 374-8380
(843) 374-5247
Mailing address
901 N MATTHEWS RD, LAKE CITY, SC 29560-7024
(843) 374-8380
(843) 374-5247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21051
SC
363LF0000X
Family Nurse Practitioner
21051
SC
Other
Enumeration date
01/19/2017
Last updated
10/26/2021
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