MEDICARE: EVELYN BRANTLEY HORNE NP

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	363L00000X	Nurse Practitioner	2203	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1649239880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN BRANTLEY HORNE NP

Provider Business Mailing Address
First Line	:	9 HAWTHORNE PARK CT
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3194
Country	:	US
Telephone Number	:	864-603-5600
Fax Number	:	864-603-5601

Provider Business Practice Location Address
First Line	:	312 HARRISON BRIDGE RD
Second Line	:
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-7133
Country	:	US
Telephone Number	:	864-603-5600
Fax Number	:	864-603-5601

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	06/11/2020

Similar Medicare Providers

1891890315 — TYLAN CREEK FAMILY DENTISTRY
Practice Location Address:

330 HARRISON BRIDGE RD
SIMPSONVILLE, SC
29680-7133

Practice Phone: 864-962-6671
Practice Fax: 864-962-6683

1982758306 — DARRYL L HALBERT D.M.D
Practice Location Address:

330 HARRISON BRIDGE RD
SIMPSONVILLE, SC
29680-7133

Practice Phone: 864-962-6671
Practice Fax: 864-962-6683

1649316613 — TODD A ROEMMICH M.D.
Practice Location Address:

312 HARRISON BRIDGE RD
SIMPSONVILLE, SC
29680-7133

Practice Phone: 864-272-0388
Practice Fax: 864-213-9237

1669672648 — DR. WILLIAM PHILLIP SWINDERMAN III D.D.S.
Practice Location Address:

330 HARRISON BRIDGE RD
SIMPSONVILLE, SC
29680-7133

Practice Phone: 864-962-6671
Practice Fax:

1487847240 — JUSTINE SARA KENNEDY
Practice Location Address:

340 HARRISON BRIDGE RD STE D
SIMPSONVILLE, SC
29680-7133

Practice Phone: 864-962-3515
Practice Fax:

1104002682 — JENNIFER LEE GOLDSMITH CPNP
Practice Location Address:

312 HARRISON BRIDGE RD
SIMPSONVILLE, SC
29680-7133

Practice Phone: 864-272-0388
Practice Fax: 864-213-9237

Directions to “ EVELYN BRANTLEY HORNE NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.