Individual
ASHLEY NICOLE MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1071 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2201
(864) 577-9107
(864) 699-1999
Mailing address
1071 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2201
(864) 577-9107
(864) 699-1999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902892904
—
SC
Enumeration date
08/22/2019
Last updated
08/22/2019
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