Individual provider · Type 1 NPI
Jordan Campbell Tezza, FNP
Family Nurse Practitioner · Greenville, SC
NPI number
1174126676
Active
Practice location
48 Centennial Way Ste B
Greenville, SC 29605-4662
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 24396 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174126676
Jordan Campbell Tezza, FNP's National Provider Identifier is 1174126676, issued on Nov 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Mar 10, 2021.