Individual provider · Type 1 NPI

Emily Pack, NP

Nurse Practitioner · Spartanburg, SC

NPI number 1366090409 Active

Practice location

1650 Skylyn Dr Ste 120
Spartanburg, SC 29307-1069

Fax (864) 216-4514

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X22603 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366090409

Emily Pack, NP's National Provider Identifier is 1366090409, issued on Sep 2, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Spartanburg, SC. The record was last updated on Nov 25, 2020.