Individual
JENNIFER SIRMON FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 455-7070
(864) 454-4669
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1531
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0570
—
SC
01
—
P01104811
RAILROAD MEDICARE
SC
Enumeration date
06/17/2005
Last updated
06/22/2021
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