Individual provider · Type 1 NPI

Jacqueline Ola Showalter, FNP-C

Family Nurse Practitioner · Moncks Corner, SC

NPI number 1780457036 Active

Practice location

115 Executive Pkwy Ste 5
Moncks Corner, SC 29461-3955

Call (843) 761-2815 Map

Mailing address

PO Box 530062
Atlanta, GA 30353-0062

Other practice locations

  • 905 Dukes St, St. George, SC 29477-2059 · (843) 563-4502

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28026 (SC)

Family Nurse Practitioner: Definition to come...

Other family nurse practitioner providers in Moncks Corner

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About NPI 1780457036

Jacqueline Ola Showalter, FNP-C's National Provider Identifier is 1780457036, issued on Oct 30, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moncks Corner, SC. The record was last updated on Oct 2, 2026.