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JACQUELINE SANTRICE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
176 MCSWAIN DR, WEST COLUMBIA, SC 29169-4825
(843) 797-3636
(843) 797-3637
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
02/10/2025
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