Individual
MS. JENNIFER LYNN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5010 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(843) 236-2700
(843) 236-2726
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 234-5139
(843) 234-6822
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19652
SC
Other
Enumeration date
09/25/2015
Last updated
02/14/2020
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