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NPI Code Detail

MEDICARE: JAZMIN WILLIAMS ANDREWS MSN, FNP-C

MEDICARE: JAZMIN WILLIAMS ANDREWS MSN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5008939NC
2363LF0000XFamily Nurse Practitioner5008939NC
3363LF0000XFamily Nurse Practitioner28161SC

General Provider Information

NPI Number : 1255889127
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAZMIN WILLIAMS ANDREWS MSN, FNP-C
Provider Business Mailing Address
First Line : 7697 CHARLOTTE HWY
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-9653
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 7697 CHARLOTTE HWY
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-9653
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 02/08/2024

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