JENNIFER FUNDERBURK SMALL

INDIAN LAND, SC
NPI1932954286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  28483)
Enumeration Date2024-04-20
Last Update Date2024-05-06
Business Address
Mrs. JENNIFER FUNDERBURK SMALL FNP-C
2021 BRIDGEMILL DR
INDIAN LAND, SC 29707-9210
Phone number: 803-416-5410
Mailing Address
Mrs. JENNIFER FUNDERBURK SMALL FNP-C
PO BOX 23321
NEW YORK, NY 10087-4321
Phone number: 843-876-1344
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