Individual
MRS. JESSICA LIN EADON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
225 N BRICKYARD RD, COLUMBIA, SC 29223-6923
(803) 736-8730
(803) 699-3672
Mailing address
225 N BRICKYARD RD, COLUMBIA, SC 29223-6923
(803) 736-8730
(803) 699-3672
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
96931
SC
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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