Individual
JILL HANCOCK MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7000
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4545
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17767
SC
367500000X
Certified Registered Nurse Anesthetist
ARNP9223039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307194400
—
FL
01
—
G3909
BCBS
FL
01
—
P00241305
PALMETTO GBA-RR MEDICARE
—
Enumeration date
05/15/2006
Last updated
03/19/2014
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