Individual
MRS. MISTY LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
151 BEREA MIDDLE SCHOOL RD, GREENVILLE, SC 29617-1220
(864) 454-2341
(864) 454-1114
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209.014979
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
22822
SC
Other
Enumeration date
11/11/2016
Last updated
10/14/2024
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