Individual
JENNIFER MARIE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1405 E GREENVILLE ST, ANDERSON, SC 29621-2049
(866) 389-2727
Mailing address
1405 E GREENVILLE ST, ANDERSON, SC 29621-2049
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23272
SC
Other
Enumeration date
10/07/2019
Last updated
01/05/2020
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