Kilcoyne, Jamie Lynn

Kilcoyne, Jamie Lynn is an individual health care provider with primary practice located at 120 Heywood Ave , Spartanburg SC 29302-1210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kilcoyne, Jamie Lynn can be contacted via phone (864) 573-9595.

Contact Information

Primary practice address
120 Heywood Ave Spartanburg SC 29302-1210
Phone: (864) 573-9595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 17898 South Carolina

Profile Details

NPI number 1316293947
LBN Legal business name Kilcoyne, Jamie Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2012
Last updated Jan 28th, 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 1316293947 NPPES
South Carolina MEDICAID NP2102
South Carolina Other P01110426
South Carolina Other SCE6856084

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