Individual
JESSICA LYNN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
520 BEVERLY DR, SUMMERVILLE, SC 29485-8191
(803) 213-9628
Mailing address
520 BEVERLY DR, SUMMERVILLE, SC 29485-8191
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
245896
SC
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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