Individual
JESSICA LYNN FRAGILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NNP-BC
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(843) 985-1544
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
25783
SC
Other
Enumeration date
03/28/2022
Last updated
03/31/2022
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