Individual
JESSICA TROTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 IVORY KEY RD, SALUDA, SC 29138-8177
(864) 445-3767
Mailing address
140 IVORY KEY RD, SALUDA, SC 29138-8177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205073
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD4101
—
SC
Enumeration date
01/18/2017
Last updated
01/18/2017
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