Individual
MRS. JENNIFER L CICCHILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.C.
Contact information
Practice address
327 AIKEN HUNT CIR, COLUMBIA, SC 29223-8407
(843) 669-5162
(843) 667-4573
Mailing address
PO BOX 100523, FLORENCE, SC 29502-0523
(843) 669-5162
(843) 667-4573
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
08356
OH
363LA2200X
Adult Health Nurse Practitioner
RX08356
OH
Other
Enumeration date
10/24/2008
Last updated
08/10/2025
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