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Contact Information

JENNIFER L PARDUE, NP
200 PRISON RD
ENOREE, SC29335-2719
 Phone: 803-729-7974
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNIFER L PARDUE · (Female)

NPI Number 1245919224
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/17/2023
Last updated 01/21/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 27559
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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