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Individual

JENNIFER RENEE STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1103 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-3044
Mailing address
1103 COOK RD, ORANGEBURG, SC 29118-8204
(803) 395-3044

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29866
SC

Other

Enumeration date
01/17/2025
Last updated
06/13/2025
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