Individual
PAULA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2111 WILSON RD, NEWBERRY, SC 29108-1603
(803) 321-2170
(803) 321-2300
Mailing address
145 STINES RD, UNION, SC 29379-8885
(864) 429-9058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN .34997
SC
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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