Melton, Jessica Taylor
Melton, Jessica Taylor is an individual health care provider with primary practice located at 10630 Clemson Blvd Ste 100 , Seneca SC 29678-4545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Melton, Jessica Taylor can be contacted via phone (864) 482-6000.Contact Information
Primary practice address
10630 Clemson Blvd Ste 100
Seneca SC 29678-4545
Phone: (864) 482-6000
Fax: (864) 482-7000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20305 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN.20305 APRN | South Carolina |
Profile Details
| NPI number | 1407207442 |
|---|---|
| LBN Legal business name | Melton, Jessica Taylor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | May 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407207442 | NPPES |
| South Carolina | MEDICAID | NP4004 |
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