Individual
JACQUELYN HOPE CORMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 GREGG ST, COLUMBIA, SC 29201-3925
(803) 270-5678
Mailing address
807 GREGG ST, COLUMBIA, SC 29201-3925
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29013
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
04/22/2026
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