Individual
JENNIFER FEAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N. JONES ROAD, OLANTA, SC 29162
(843) 396-4457
(843) 396-9512
Mailing address
312 N. JONES ROAD, OLANTA, SC 29162
(843) 396-4457
(843) 396-9512
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
71429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
SC
Enumeration date
02/10/2020
Last updated
02/10/2020
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