Most Relevant Information
Provider Data
| NPI Number: | 1003265380 |
| Provider Name: | JENNY O'NEILL FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 20170 |
Most Important Dates
| Enumeration Date: | 06/08/2016 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
2801 DEVINE ST STE 101
COLUMBIA
SC
292052511
Practice Location Phone/Fax
| Phone: | 8034578125 |
| Fax: | 8034578129 |
Provider Mailing Location
2801 DEVINE ST STE 101
COLUMBIA
SC
292052511
Provider Mailing Phone/Fax
| Phone: | 8034578125 |
| Fax: | 8034578129 |