Individual
MISS DANIELLE BUNTON SHOUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
830 ROBERTSON BLVD, WALTERBORO, SC 29488-3081
(843) 781-7428
(843) 781-7429
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22978
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6164
—
SC
Enumeration date
07/01/2019
Last updated
04/23/2025
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