Individual
CHRISSIE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4109 E NORTH ST STE 300C, GREENVILLE, SC 29615-6227
(864) 409-7041
(864) 428-1286
Mailing address
PO BOX 287, GREENVILLE, SC 29602-0287
(864) 729-8330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3964
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3964
SC
Other
Enumeration date
11/13/2009
Last updated
09/23/2024
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