JEFFREY S PORTER CRNP NPI 1194022046

NPI Information

NPI: 1194022046
Provider Name: JEFFREY S PORTER, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1301 TAYLOR ST STE 1A
COLUMBIA, SC
ZIP 29201
Phone: (803) 434-4790
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Jeffrey S Porter, CRNP is a family nurse practitioner in Columbia, SC. Jeffrey S Porter, CRNP NPI is 1194022046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1301 TAYLOR ST STE 1A
COLUMBIA, SC
ZIP 29201-946
Phone: (803) 434-4790
Fax: (803) 434-4799

The NPI 1194022046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/11/2011 and was last updated on 11/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		SP011089	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	20843	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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