Fox, Jennifer Sirmon

Fox, Jennifer Sirmon is an individual health care provider with primary practice located at 900 W Faris Rd , Greenville SC 29605-4255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fox, Jennifer Sirmon can be contacted via phone (864) 455-7070.

Contact Information

Primary practice address
900 W Faris Rd Greenville SC 29605-4255
Phone: (864) 455-7070
Fax: (864) 454-4669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1531 South Carolina

Profile Details

NPI number 1033114798
LBN Legal business name Fox, Jennifer Sirmon
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033114798 NPPES
South Carolina MEDICAID NP0570
South Carolina Other P01104811

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