MEDICARE: KATHERINE JANE MCELMURRAY APRN

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	363LA2100X	Acute Care Nurse Practitioner	20042	SC
2	363LA2100X	Acute Care Nurse Practitioner	17202	TN
3	363L00000X	Nurse Practitioner	20042	SC

General Provider Information

NPI Number	:	1427396365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE JANE MCELMURRAY APRN

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-695-6697
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 GROVE RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4210
Country	:	US
Telephone Number	:	864-455-5648
Fax Number	:	864-455-7862

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

Provider Enumeration Date	:	01/28/2013
Last Update Date	:	02/02/2026

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