Individual
MRS. JAN LESLI TAPP LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3076
(864) 455-4135
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17690
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2197
—
SC
Enumeration date
12/05/2011
Last updated
01/12/2022
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