Corley, Leanna Nicole

Corley, Leanna Nicole is an individual health care provider with primary practice located at 175 Patewood Dr , Greenville SC 29615-3570. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corley, Leanna Nicole can be contacted via phone (864) 797-1403.

Contact Information

Primary practice address
175 Patewood Dr Greenville SC 29615-3570
Phone: (864) 797-1403
Fax: (864) 455-3884
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23169 South Carolina

Profile Details

NPI number 1609425545
LBN Legal business name Corley, Leanna Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2019
Last updated May 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609425545 NPPES
South Carolina MEDICAID NP6364

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