Individual provider · Type 1 NPI

Jesse Long

Family Nurse Practitioner · Greenville, SC

NPI number 1730884313 Active

Practice location

200 Patewood Dr Ste B350
Greenville, SC 29615-6337

Call (864) 454-4500 Map

Fax (864) 454-4505

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26834 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1730884313

Jesse Long's National Provider Identifier is 1730884313, issued on Apr 3, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on May 10, 2023.