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Jenni Lisa Hackenberg
Family Nurse Practitioner in Summerville, South Carolina
NPI 1235709395

Jenni Lisa Hackenberg is a Family Nurse Practitioner based in Summerville, SC and is specialized in Family. Jenni Lisa Hackenberg practices in Summerville, SC. The NPI Number for Jenni Lisa Hackenberg is 1235709395 and holds a License No. 25116 (South Carolina).

The current practice location address for Jenni Lisa Hackenberg is 1709 Old Trolley Rd, Summerville, SC and can be reached out via phone at 843-873-2225.

Location: 1709 Old Trolley Rd, Summerville, SC, 29486-0405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235709395
Provider Name
Jenni Lisa Hackenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
1709 Old Trolley Rd, Summerville, SC, 29486-0405
Phone Number
843-873-2225
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1709 Old Trolley Rd
City
Summerville
State
South Carolina
Zip
29485-8276
Phone Number
843-873-2225
Fax Number
person
Provider Business Mailing Address Details
Address
1709 Old Trolley Rd
City
Summerville
State
South Carolina
Zip
29485-8276
Phone Number
843-873-2225
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
25116 (South Carolina)
Definition
Definition to come...
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