Individual
TARA JESSEE JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
207 PINEWOOD LN, ROCK HILL, SC 29730-6115
(803) 370-9624
Mailing address
207 PINEWOOD LN, ROCK HILL, SC 29730-6115
(803) 370-9624
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
85539
SC
163WH0200X
Home Health Registered Nurse
Primary
85539
SC
Other
Enumeration date
04/01/2014
Last updated
04/17/2014
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