NPI 1104812403 · live from the CMS NPI Registry
Jean T Isherwood, WHNP-BC
Nurse Practitioner, Obstetrics & Gynecology in Lexington, SC. National Provider Identifier 1104812403, active.
NPI record
| NPI | 1104812403 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 811 W Main St Ste 201&209, Lexington, SC 29072 |
| Practice phone | 803-785-4777 |
| Mailing address | Po Box 6069, West Columbia, SC 29171 |
| Enumerated | September 22, 2005 |
| Last updated | June 14, 2021 |
| Sole proprietor | No |
| Other names | Jean Dobek |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 3671 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.