Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 21675 | SC |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 241509 | NC |
NPI | 1003116567 |
---|---|
Provider Name | Jennifer Hardy Singletary |
First Address | Greenville, SC 29607-4021 |
Second Address | Greenville, SC 29607-4021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2010 |
Last Update Date | 05/11/2018 |