Individual
JENNIFER ELAINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2060 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4616
(843) 985-1180
(843) 985-9862
Mailing address
1139 DEERBERRY RD, HANAHAN, SC 29410-4760
(843) 324-4839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
271289
SC
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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