Individual
SHANELL DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8 N TEXAS AVE, GREENVILLE, SC 29611-5034
(864) 688-3988
Mailing address
8 N TEXAS AVE, GREENVILLE, SC 29611-5034
(864) 295-1331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
250818
NC
363LF0000X
Family Nurse Practitioner
Primary
27173
SC
Other
Enumeration date
03/08/2023
Last updated
03/14/2023
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