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Individual

JACQUELINE DENEEN LEVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-6834
(803) 434-6095
(803) 758-0120
Mailing address
300 E MCBEE AVE # 4TH, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24597
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP7858
SC
Enumeration date
09/01/2021
Last updated
07/19/2023
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