Individual provider · Type 1 NPI
Jesse Phillip Elm Jr., APRN
Family Nurse Practitioner · Spartanburg, SC
NPI number
1659320208
Active
Practice location
189 Serpentine Drive
Spartanburg, SC 29303
Mailing address
2030 North Church Place
Spartanburg, SC 29303-2972
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN2380 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659320208
Jesse Phillip Elm Jr., APRN's National Provider Identifier is 1659320208, issued on May 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spartanburg, SC. The record was last updated on Nov 17, 2009.