Jacquelyn Suzette Ammons, ACNP
Nurse Practitioner, Acute Care in Charleston, SC. Individual provider (NPI-1).
NPI number1669965810
StatusActive
Last updated in NPPESSep 23, 2024
Details
- NPI
- 1669965810
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Suzette Ammons
- Credential
- ACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2018
- Certification date
- Sep 23, 2024
- Last updated
- Sep 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 21768 | SC | Yes |
Practice location
9330 Medical Plaza DrCharleston, SC 29406-9104
Phone 843-847-4876
Mailing address
9330 Medical Plaza DrNorth Charleston, SC 29406-9104
Phone 843-847-4882
Other practice locations
316 Calhoun St
Charleston, SC 29401-1113
Charleston, SC 29401-1113
Phone 843-724-2450 · Fax 843-724-2455
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