Individual
MRS. HEATHER LESLIE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
115 BRUSHY CREED ROAD SUITE A, EASLEY, SC 29642
(864) 523-8082
Mailing address
432 PEA CREED ROAD, BELTON, SC 29627
(864) 314-5623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20889
SC
Other
Enumeration date
06/18/2017
Last updated
05/13/2025
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