Most Relevant Information
Provider Data
| NPI Number: | 1003466327 |
| Provider Name: | JENNIFER TIPPETT PENCE RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | 211808 |
Most Important Dates
| Enumeration Date: | 09/18/2019 |
| Last Updated: | 09/18/2019 |
Provider Practice Location
135 HOOD RD
GREENVILLE
SC
296117519
Practice Location Phone/Fax
| Phone: | 8642691821 |
| Fax: | 8642690795 |
Provider Mailing Location
135 HOOD RD
GREENVILLE
SC
296117519
Provider Mailing Phone/Fax
| Phone: | 8642691821 |
| Fax: | 8642690795 |