Most Relevant Information
Provider Data
| NPI Number: | 1003583246 |
| Provider Name: | JENNIFER LUCAS REID FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 25211 |
Most Important Dates
| Enumeration Date: | 08/25/2021 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
214 W PINE ST
FLORENCE
SC
295014725
Practice Location Phone/Fax
| Phone: | 8436610500 |
| Fax: | 4366173708 |
Provider Mailing Location
214 W PINE ST
FLORENCE
SC
295014725
Provider Mailing Phone/Fax
| Phone: | 8436610500 |
| Fax: | 8436617370 |