Individual
MR. JESSE PHILLIP ELM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
189 SERPENTINE DRIVE, SPARTANBURG, SC 29303
(864) 560-3280
Mailing address
2030 NORTH CHURCH PLACE, SPARTANBURG, SC 29303-2972
(864) 489-0441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN2380
SC
Other
Enumeration date
05/10/2006
Last updated
11/17/2009
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