Search › South Carolina › 363A00000X
Jessica Larosa, PA-C
NPI 1265043145 · on the registry since 2020 · sole proprietor
Practice
- Address
- 890 W Faris Rd Ste 310
Greenville, SC 29605 - Phone
- (864) 455-8300
- Fax
- (864) 455-8310
- Organisation at this address
- Prisma Health-Upstate
Prisma Health-Upstate
Prisma Health-Upstate
University Medical Group Department Of ObgynInferred from a shared address, not stated in the registry. - Clinicians at this address
- 230
Additional practice sites
- 625 Old Peachtree Rd Nw, Suwanee, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
390200000X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina