Most Relevant Information
Provider Data
| NPI Number: | 1003667221 |
| Provider Name: | JORDAN ASHLEY GRICE APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 28474 |
Most Important Dates
| Enumeration Date: | 03/27/2024 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
200 COLLEGE ST
SPARTANBURG
SC
293033556
Practice Location Phone/Fax
| Phone: | 8645822411 |
| Fax: | 8645940040 |
Provider Mailing Location
PO BOX 5158
SPARTANBURG
SC
293045158
Provider Mailing Phone/Fax
| Phone: | 8645822411 |
| Fax: | 8645940040 |
Suggested EMR
Family Practice EMR