MEDICARE: MRS. JENNIFER SNOW R.N.

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
1	163WH0200X	Home Health Registered Nurse	246993	SC

General Provider Information

NPI Number	:	1316726276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER SNOW R.N.

Provider Business Mailing Address
First Line	:	1831 TOWNES CT
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-3362
Country	:	US
Telephone Number	:	203-494-7073
Fax Number	:

Provider Business Practice Location Address
First Line	:	1831 TOWNES CT
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29730-3362
Country	:	US
Telephone Number	:	203-494-7073
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2023
Last Update Date	:	09/28/2023

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