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Individual

JILLIAN MARIE PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(802) 286-1214
Mailing address
150 BEE ST APT 715, CHARLESTON, SC 29401-5707
(609) 417-5624

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
253913
SC
367500000X
Certified Registered Nurse Anesthetist
143111
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
27406
SC

Other

Enumeration date
05/04/2023
Last updated
07/14/2023
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