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NPI Code Detail

MEDICARE: JOHN AUSTIN JARBOE III ARNP

MEDICARE:   JOHN AUSTIN JARBOE III ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerGAA-NP001651GA
2363L00000XNurse PractitionerARNP3308662FL
3363L00000XNurse PractitionerNC5015048NC
4363L00000XNurse Practitioner28922SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942251764
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN AUSTIN JARBOE III ARNP
Provider Business Mailing Address
First Line : 113 DUGOUT COVE RD
Second Line :
City : ANDERSON
State : SC
Zip : 29626-6469
Country : US
Telephone Number : 727-510-8271
Fax Number :
Provider Business Practice Location Address
First Line : 1 SAINT FRANCIS DR
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3955
Country : US
Telephone Number : 864-255-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 10/29/2025

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