Individual
JACQUELINE SANTRICE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6539 TWO NOTCH RD, COLUMBIA, SC 29223-7463
(803) 708-0058
(878) 226-9159
Mailing address
176 MCSWAIN DR, WEST COLUMBIA, SC 29169-4825
(843) 797-3636
(843) 797-3637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
249901
SC
363LF0000X
Family Nurse Practitioner
Primary
28262
SC
Other
Enumeration date
05/29/2023
Last updated
07/22/2026
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