Individual
JACQUELYNN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3174
Mailing address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54148
SC
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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