Individual
MS. JENNIFER LEAH STAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4969 CENTRE POINTE DR STE 100, NORTH CHARLESTON, SC 29418-6975
(843) 725-5444
(843) 266-9124
Mailing address
4969 CENTRE POINTE DR STE 100, NORTH CHARLESTON, SC 29418-6975
(843) 725-5444
(843) 266-9124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26757
SC
363LF0000X
Family Nurse Practitioner
26757
SC
Other
Enumeration date
09/23/2022
Last updated
02/04/2025
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