Individual
JEAN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1656 RIVERCHASE BLVD STE 2400, ROCK HILL, SC 29732-0271
(803) 329-5131
Mailing address
11926 N COMMUNITY HOUSE RD APT 4204, CHARLOTTE, NC 28277-4976
(312) 547-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
284645
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
30955
SC
Other
Enumeration date
09/02/2025
Last updated
09/26/2025
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