Individual
NICOLE ELIZABETH LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(864) 582-6396
(864) 582-1608
Mailing address
1330 BOILING SPRINGS RD STE 1600, SPARTANBURG, SC 29303-4219
(864) 582-6396
(864) 582-1608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29441
SC
363L00000X
Nurse Practitioner
5019188
NC
363LF0000X
Family Nurse Practitioner
5019188
NC
Other
Enumeration date
07/19/2022
Last updated
11/13/2025
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