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Individual

JESSICA TRUC NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6833
(803) 434-6430
(803) 545-5353
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
12.010343
CT
363LF0000X
Family Nurse Practitioner
Primary
25861
SC

Other

Enumeration date
01/24/2022
Last updated
06/14/2022
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