Individual
JENETTA ASHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681-3399
(864) 963-3421
Mailing address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681-3399
(864) 963-3421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107497
SC
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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