Individual
JAMIE LYNN KILCOYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 VERDAE BLVD STE 150, GREENVILLE, SC 29607-4021
(864) 516-1783
Mailing address
525 VERDAE BLVD STE 150, GREENVILLE, SC 29607-4021
(864) 516-1783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
17898
SC
363LF0000X
Family Nurse Practitioner
Primary
17898
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2102
—
SC
01
—
P01110426
RAILROAD MEDICARE
SC
01
—
SCE6856084
MEDICARE PIN
SC
Enumeration date
08/01/2012
Last updated
03/17/2025
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