Donlan, Kristi Ann Tucker
Donlan, Kristi Ann Tucker is an individual health care provider with primary practice located at 106 Physicians Dr , Greer SC 29650-2445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Donlan, Kristi Ann Tucker can be contacted via phone (864) 797-9100.Contact Information
Primary practice address
106 Physicians Dr
Greer SC 29650-2445
Phone: (864) 797-9100
Fax: (864) 241-9239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 18255 | South Carolina |
Profile Details
| NPI number | 1891966685 |
|---|---|
| LBN Legal business name | Donlan, Kristi Ann Tucker |
| Credentials | CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891966685 | NPPES |
| South Carolina | MEDICAID | NP2454 |
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