Doctor Name: | SARAH NICOLE JEWELL |
NPI Number: | 1174982250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 20023 |
Business Practice Address: | 701 Cashua Ferry Rd Darlington, SC - 295328488 |
Business Phone Number: | 8437774200 |
Business Fax Number: | 8437774296 |
Mailing Address: | Po Box 3239, FLORENCE |
State: | SC |
Postal Code: | 295023239 |
Phone Number: | 8437777120 |
Fax Number: | 8437777102 |
NPI Enumeration Date: | 02/17/2016 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 20023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |