Individual
FELICIA TAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E MAIN ST, SUITE 12, SPARTANBURG, SC 29307-1711
(864) 560-9260
(864) 560-9265
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-7779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20132
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3848
—
SC
01
—
SC82883365
MEDICARE PIN
SC
01
—
SC82886067
MEDIARE PIN
SC
01
—
SC82886121
MEDICARE PIN
SC
01
—
SC8288J577
MEDICARE PIN
SC
Enumeration date
04/29/2016
Last updated
03/20/2020
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