Individual
JACELYN L KERSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7295 BEACH DR SW, OCEAN ISLE BEACH, NC 28469-5515
(910) 579-0970
Mailing address
920 LAURENS MILL DR, MYRTLE BEACH, SC 29579-3555
(336) 848-1208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17057
NC
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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