Individual
STEPHANIE BANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ST CAMILLUS PALLIATIVE CARE, 317 ST. FANCIS DRIVE STE 125, GREENVILLE, SC 29601-3900
(864) 255-1304
(864) 679-8955
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(312) 567-6405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5065
—
SC
Enumeration date
04/21/2014
Last updated
08/09/2018
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