Jessica Dial, DNP, FNP-C
Nurse Practitioner, Family in Charleston, SC. Individual provider (NPI-1).
NPI number1457930554
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1457930554
- Entity type
- Individual (NPI-1)
- Name
- Jessica Dial
- Credential
- DNP, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2021
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 24190 | SC | Yes |
| 363L00000X | Nurse Practitioner | 24190 | SC |
Practice location
171 Ashley AveCharleston, SC 29425-0001
Phone 843-792-1414
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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