Individual
JAMIE SOLAINE SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 E CHEVES STREET, FLORENCE, SC 29506-2716
(843) 839-1201
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7033
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
23606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6592
—
SC
Enumeration date
01/16/2020
Last updated
11/01/2024
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