| Doctor Name: | MRS. JACQUELINE C. MYERS |
| NPI Number: | 1013257260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-BC |
| License Number: | 17933 |
| Business Practice Address: | 101 N Pine St Spartanburg, SC - 293021685 |
| Business Phone Number: | 8645410649 |
| Business Fax Number: | |
| Mailing Address: | 220 Houston Rice Rd, SENECA |
| State: | SC |
| Postal Code: | 296781637 |
| Phone Number: | 8647102880 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2013 |
| NPI Last Update Date: | 02/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 17933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |