Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Upstate Carolina Medical LLC

Organization Nurse Practitioner · NPI 1457002123

Upstate Carolina Medical LLC is a Nurse Practitioner in Clemson, South Carolina. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

144 Thomas Green Blvd Ste 232
Clemson, SC 29631-2291
Phone: (864) 722-5203
Fax: (864) 722-5203
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 Central Park Ln Ste A, Seneca, SC 29678-1156 — (864) 903-9604

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1457002123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Vassallo — Owner/ Nurse Practitioner · (864) 903-9604
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address144 Thomas Green Blvd Ste 232, Clemson, SC 29631-2291

Other providers in Clemson