Individual
JENNIFER JUNIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 WALKER SOLOMON WAY, COLUMBIA, SC 29204-1130
(803) 600-8776
Mailing address
2170 WALKER SOLOMON WAY, COLUMBIA, SC 29204-1130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
20945
SC
363LG0600X
Gerontology Nurse Practitioner
20945
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
20945
SC
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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