Individual
JENNA TINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(854) 894-3509
Mailing address
1176 APPIAN CROSSING WAY APT 311, LEXINGTON, KY 40517-1043
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
03/23/2026
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