Individual
JESSICA REAMES LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
770 MEDICAL PARK DR, AIKEN, SC 29801-6307
(803) 716-8712
(803) 716-8713
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 716-8712
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19592
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3737
—
SC
Enumeration date
01/05/2016
Last updated
03/07/2019
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