Individual
REBECCA GAYLE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 JOHNATHON LN, EASLEY, SC 29640-6335
(270) 505-2810
Mailing address
105 JOHNATHON LN, EASLEY, SC 29640-6335
(270) 505-2810
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
31191A
SC
Other
Enumeration date
12/25/2025
Last updated
12/25/2025
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