Individual
MS. CHELSIE LEONNA MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150
(803) 468-1915
(803) 774-8761
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
22179
SC
363LG0600X
Gerontology Nurse Practitioner
22179
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5420
—
SC
Enumeration date
08/01/2018
Last updated
12/07/2018
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