Individual provider · Type 1 NPI

Jeanine Khoury

Pediatric Nurse Practitioner · Columbia, SC

NPI number 1740201417 Active

Practice location

4605 Monticello Rd
Columbia, SC 29203-4156

Fax (803) 252-5219

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X1215 (SC)

Pediatric Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1740201417

Jeanine Khoury's National Provider Identifier is 1740201417, issued on Jul 21, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, SC. The record was last updated on Mar 1, 2011.