Individual
JACQUELINE SUSANNE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Mailing address
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572-4181
(843) 497-6348
(843) 497-6351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21275RX
SC
Other
Enumeration date
10/03/2017
Last updated
02/10/2022
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