Individual
MR. JARED JOSHUA CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
128 MILLPORT CIR STE 200, GREENVILLE, SC 29607-5573
(864) 477-3447
(877) 935-4151
Mailing address
52 WILLOMERE WAY, SIMPSONVILLE, SC 29681-7136
(864) 979-8367
(877) 935-4151
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
92956
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2255
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22555
SC
Other
Enumeration date
01/07/2015
Last updated
03/11/2026
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