Individual
MS. JESSICA PLAICE DUNCKLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
TAYLOR AT MARION ST, COLUMBIA, SC 29220-0001
(803) 296-4989
Mailing address
105 BRONLOW DR, IRMO, SC 29063-8374
(803) 479-0856
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2572
NC
367500000X
Certified Registered Nurse Anesthetist
3889
SC
367500000X
Certified Registered Nurse Anesthetist
AC002675
MD
Other
Enumeration date
05/06/2009
Last updated
09/19/2024
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