Individual
MRS. JENNIFER KERRY AMBER WAREHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 JACKSON GROVE RD, TRAVELERS REST, SC 29690-8882
(864) 828-3679
Mailing address
203 JACKSON GROVE RD, TRAVELERS REST, SC 29690-8882
(864) 828-3679
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227583
SC
363LF0000X
Family Nurse Practitioner
Primary
27389
SC
Other
Enumeration date
11/25/2020
Last updated
08/28/2023
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