Katherine Lee Ambrose, is a
Nurse Practitioner - Family physician based in Clemson, South Carolina. Katherine Lee Ambrose is licensed to practice in South Carolina (license number 30594) and her current practice location is 101 Chapman Hill Rd Ste 201, Clemson, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 653-4071.
NPI number for Katherine Lee Ambrose is 1366040693 and her current mailing address is 300 E Mcbee Ave Fl 4, Greenville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366040693.
Physician's Profile
| Full Name | Katherine Lee Ambrose |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 101 Chapman Hill Rd Ste 201, Clemson, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366040693
- Provider Enumeration Date: 10/09/2020
- Last Update Date: 08/05/2025
Medical Identifiers
Medical identifiers for Katherine Lee Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366040693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 234988 (South Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 30594 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Lee Ambrose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katherine Lee Ambrose,
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 695-6697 | Katherine Lee Ambrose,
101 Chapman Hill Rd Ste 201,
Clemson, SC 29631-2194
Ph: (864) 653-4071 |
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