Individual
MRS. JACQUELINE OLA SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
905 DUKES ST, SAINT GEORGE, SC 29477-2059
(843) 563-4602
Mailing address
511 EVENING SHADE DR, MONCKS CORNER, SC 29461-7461
(843) 224-8178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28026
SC
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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