| Doctor Name: | JENNIE BINGHAM |
| NPI Number: | 1003253089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN.76219 |
| Business Practice Address: | 361 Wattling Rd West Columbia, SC - 291702245 |
| Business Phone Number: | 8037394175 |
| Business Fax Number: | |
| Mailing Address: | 361 Wattling Rd, WEST COLUMBIA |
| State: | SC |
| Postal Code: | 291702245 |
| Phone Number: | 8037394175 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2013 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN.76219 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |