Individual
GINGER DEROCHE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
439 WIGGINS ESTATES LN, HOLLY HILL, SC 29059-9346
(719) 214-0662
Mailing address
439 WIGGINS ESTATES LN, HOLLY HILL, SC 29059-9346
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31966
SC
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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