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Individual

JILL NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
403 HILLCREST DR STE E, EASLEY, SC 29640-1207
(864) 343-1220
Mailing address
601 LITTLE EASTATOEE RD, SUNSET, SC 29685-2125
(864) 506-1071

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20289
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1942853625
SC
Enumeration date
11/13/2016
Last updated
11/09/2021
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