Individual
AYESHA SHAVON HINTON NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1304 SPRINGDALE DR, CLINTON, SC 29325-7226
(864) 833-6287
(864) 833-0556
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18800
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2875
—
SC
Enumeration date
06/23/2014
Last updated
04/02/2025
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