Coleman, Jennifer

Coleman, Jennifer is an individual health care provider with primary practice located at 104 George Bishop Pkwy , Myrtle Beach SC 29579-7335. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Coleman, Jennifer can be contacted via phone (843) 903-6212.

Contact Information

Primary practice address
104 George Bishop Pkwy Myrtle Beach SC 29579-7335
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P31748 South Carolina

Profile Details

NPI number 1386120491
LBN Legal business name Coleman, Jennifer
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2018
Last updated Jul 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386120491 NPPES
South Carolina Other P3178 NURSE

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