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NPI Code Detail

MEDICARE: JENNIFER M NEWTON FNP-C

MEDICARE:   JENNIFER M NEWTON  FNP-C
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
1363LP2300XPrimary Care Nurse Practitioner20970SC

General Provider Information

NPI Number : 1720402753
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER M NEWTON FNP-C
Provider Business Mailing Address
First Line : 795 OLD CLEMSON RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-4203
Country : US
Telephone Number : 803-753-7170
Fax Number : 803-753-7170
Provider Business Practice Location Address
First Line : 795 OLD CLEMSON RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-4203
Country : US
Telephone Number : 803-744-4940
Fax Number : 803-744-4938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2014
Last Update Date : 02/08/2021

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Directions to “ JENNIFER M NEWTON FNP-C” Practice Location

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