Individual
MS. JESSICA GRACE SMITH CHASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3874 RENEE DR UNIT D, MYRTLE BEACH, SC 29579-4358
(843) 903-4500
(843) 903-4505
Mailing address
3874 RENEE DR UNIT D, MYRTLE BEACH, SC 29579-4358
(843) 903-4500
(843) 903-4505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21070
SC
207Q00000X
Family Medicine Physician
5421070
SC
363LF0000X
Family Nurse Practitioner
Primary
5421070
SC
Other
Enumeration date
06/29/2017
Last updated
08/08/2025
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