Individual
JODY CLEMONS ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2210 LAURENS RD, GREENVILLE, SC 29607-3224
(866) 389-2727
Mailing address
3223A N PLEASANTBURG DR, GREENVILLE, SC 29609-2900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21185
SC
363LF0000X
Family Nurse Practitioner
F07171075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568972842
FNP
SC
05
—
26-4628819
—
GA
Enumeration date
10/02/2017
Last updated
11/05/2019
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