Individual
JESSICA FORRY LEBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-5444
(864) 560-6017
Mailing address
104 VESPER CIR, MAULDIN, SC 29662-2520
(864) 560-5444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4060
SC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/25/2021
Last updated
03/06/2025
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