Individual
MRS. JENNIFER W SIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Mailing address
142 MILESTONE WAY, GREENVILLE, SC 29615-5065
(864) 558-0092
(855) 269-6611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1551
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037PA
—
SC
Enumeration date
08/27/2006
Last updated
05/28/2020
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