Individual
DR. JACQUELINE G. STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, AGNP-C
Contact information
Practice address
406 S RAILROAD AVE, LAMAR, SC 29069-2906
(843) 260-8687
Mailing address
406 S RAILROAD AVE, LAMAR, SC 29069
(843) 260-8687
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
23281
SC
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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