Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
304 KEMPER ST, TIMMONSVILLE, SC 29161-1922
(843) 346-3956
(843) 346-5159
Mailing address
304 KEMPER ST, TIMMONSVILLE, SC 29161-1922
(843) 346-3956
(843) 346-5159
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
207592
SC
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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