Most Relevant Information
Provider Data
| NPI Number: | 1003483728 |
| Provider Name: | JESSICA MARIE BUTLER |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | 106056080 |
Most Important Dates
| Enumeration Date: | 06/10/2021 |
| Last Updated: | 06/10/2021 |
Provider Practice Location
8 CLOVERDALE CT
SIMPSONVILLE
SC
296812142
Practice Location Phone/Fax
| Phone: | 8644843705 |
| Fax: |
Provider Mailing Location
8 CLOVERDALE CT
SIMPSONVILLE
SC
296812142
Provider Mailing Phone/Fax
| Phone: | 8644843705 |
| Fax: |