NPI 1053093500 · live from the CMS NPI Registry
Kristen Jeffers Matthews, FNP
Nurse Practitioner, Family in Columbia, SC. National Provider Identifier 1053093500, active.
NPI record
| NPI | 1053093500 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2 Medical Park Rd Ste Range, Columbia, SC 29203 |
| Practice phone | 803-434-9660 |
| Mailing address | 300 E Mcbee Ave Fl 4, Greenville, SC 29601 |
| Enumerated | August 3, 2023 |
| Last updated | September 1, 2023 |
| Sole proprietor | No |
| Other names | Kristen Jeffers |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Maternal & Fetal Medicine | 207VM0101X | 27321 (SC) |
| Nurse Practitioner, Family primary | 363LF0000X | 27321 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.