Jennifer R Derendal, LPN
NPI #1023829074 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1023829074
- Entity Type
- Individual
- Name
- Jennifer R Derendal, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 17, 2025
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 606 CATTLE DRIVE CIR
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29588-3734
- Phone
- (603) 313-7740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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