Individual
MS. JENNIFER KIRBY SPAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 THOMASINA MCPHERSON BLVD, NORTH CHARLESTON, SC 29405-8283
(843) 745-2184
(843) 745-2182
Mailing address
3180 THOMASINA MCPHERSON BLVD, NORTH CHARLESTON, SC 29405-8283
(843) 745-2184
(843) 745-2182
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
211395
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211395
REGISTERED NURSE
SC
Enumeration date
08/18/2021
Last updated
08/18/2021
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