Individual
JESSICA TAYLOR MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10630 CLEMSON BLVD STE 100, SENECA, SC 29678-4545
(864) 482-6000
(864) 482-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
(864) 365-0205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20305
SC
363LF0000X
Family Nurse Practitioner
APN.20305 APRN
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4004
—
SC
Enumeration date
06/30/2016
Last updated
05/27/2021
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