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1215234968
JESSICA SMITH
NORTH MYRTLE BEACH, SC
NPI
1215234968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 4450)
Enumeration Date
2011-02-15
Last Update Date
2013-03-04
Business Address
-- JESSICA SMITH FNP
1010 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC 29582-2806
Phone number: 843-685-0180
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Mailing Address
-- JESSICA SMITH FNP
503 TRESTLE WAY
CONWAY, SC 29526-7468
Phone number: 843-685-0180
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