Individual
JESSICA THOMPSON SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3485 MITCHELL ST, LORIS, SC 29569-2823
(843) 390-0877
Mailing address
3485 MITCHELL ST, LORIS, SC 29569-2823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30199
SC
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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