Individual
MR. JESSE PHILIP KASITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 E CHEVES ST STE 260, FLORENCE, SC 29506-2652
(843) 665-7941
(843) 665-1257
Mailing address
800 E CHEVES ST STE 260, FLORENCE, SC 29506-2652
(843) 665-7941
(843) 665-1257
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
20691
SC
363LP2300X
Primary Care Nurse Practitioner
SP013051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6221
—
SC
Enumeration date
08/11/2013
Last updated
02/17/2020
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