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Jacquelyn Suzette Ammons, ACNP
Acute Care Nurse Practitioner in Charleston, South Carolina
NPI 1669965810

Jacquelyn Suzette Ammons is an Acute Care Nurse Practitioner based in North Charleston, SC and is specialized in Acute Care. Jacquelyn Suzette Ammons practices in Charleston, SC and has the professional credentials of ACNP. The NPI Number for Jacquelyn Suzette Ammons is 1669965810 and holds a License No. 21768 (South Carolina).

The current practice location address for Jacquelyn Suzette Ammons is 9330 Medical Plaza Dr, Charleston, SC and can be reached out via phone at 843-847-4876.

Location: 9330 Medical Plaza Dr, Charleston, SC, 29406-9104
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Provider Profile Details
NPI Number
1669965810
Provider Name
Jacquelyn Suzette Ammons
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
9330 Medical Plaza Dr, Charleston, SC, 29406-9104
Phone Number
843-847-4876
Fax Number
Provider Enumeration Date
06/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720210586 01 ICC HEALTHCARE LLC
institution
Provider Business Practice Location Address Details
Address
9330 Medical Plaza Dr
City
State
Zip
29406-9104
Phone Number
843-847-4876
Fax Number
person
Provider Business Mailing Address Details
Address
9330 Medical Plaza Dr
City
State
Zip
29406-9104
Phone Number
843-847-4876
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
21768 (South Carolina)
Definition
Definition to come...
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