Individual
KIMBERLY JANE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
89 OLD TROLLEY RD STE 105, SUMMERVILLE, SC 29485-4957
(877) 279-5960
Mailing address
89 OLD TROLLEY RD STE 105, SUMMERVILLE, SC 29485-4957
(877) 279-5960
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
109472
SC
363LF0000X
Family Nurse Practitioner
Primary
21393
SC
363LF0000X
Family Nurse Practitioner
5010048
NC
Other
Enumeration date
09/19/2017
Last updated
04/30/2025
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