Individual
LEANNA NICOLE CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
175 PATEWOOD DR, GREENVILLE, SC 29615-3570
(864) 797-1403
(864) 455-3884
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23169
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6364
—
SC
Enumeration date
09/04/2019
Last updated
05/24/2021
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