person
Madina Santiago Jucaban, FNP-C
Family Nurse Practitioner in Columbia, South Carolina
NPI 1417553116

Madina Santiago Jucaban is a Family Nurse Practitioner based in Greenville, SC and is specialized in Family. Madina Santiago Jucaban practices in Columbia, SC and has the professional credentials of FNP-C. The NPI Number for Madina Santiago Jucaban is 1417553116 and holds a License No. 24397 (South Carolina).

The current practice location address for Madina Santiago Jucaban is 3 Richland Medical Park Dr Ste 310, Columbia, SC and can be reached out via phone at 803-434-8323 and via fax at 803-434-8326.

Location: 3 Richland Medical Park Dr Ste 310, Columbia, SC, 29601-2842
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Provider Profile Details
NPI Number
1417553116
Provider Name
Madina Santiago Jucaban
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3 Richland Medical Park Dr Ste 310, Columbia, SC, 29601-2842
Phone Number
803-434-8323
Fax Number
803-434-8326
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP7673 05 SC
institution
Provider Business Practice Location Address Details
Address
3 Richland Medical Park Dr Ste 310
City
State
Zip
29203-6862
Phone Number
803-434-8323
Fax Number
803-434-8326
person
Provider Business Mailing Address Details
Address
3 Richland Medical Park Dr Ste 310
City
State
Zip
29203-6862
Phone Number
803-434-8323
Fax Number
803-434-8326
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
24397 (South Carolina)
Definition
Definition to come...
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