MEDICARE: JOCELYN MILLER SNIDER CPNP

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
1	363LP0200X	Pediatric Nurse Practitioner	18220	SC

General Provider Information

NPI Number	:	1891097580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN MILLER SNIDER CPNP

Provider Business Mailing Address
First Line	:	2214 OLD CHEROKEE RD
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-9725
Country	:	US
Telephone Number	:	803-520-9380
Fax Number	:

Provider Business Practice Location Address
First Line	:	1223 S LAKE DR
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-6889
Country	:	US
Telephone Number	:	803-520-9370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	04/04/2017

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