Individual
JYMEE ANN CHICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
4741 BUCKLEY CT, MYRTLE BEACH, SC 29579-6902
(834) 903-3928
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R87364
SC
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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