Individual
KAREN LEANNE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4022 POSTAL WAY STE C, MYRTLE BEACH, SC 29579-3537
(843) 903-4111
(843) 903-4242
Mailing address
300 SINGLETON RIDGE RD, ATTN PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
164448
NC
363LF0000X
Family Nurse Practitioner
164448
NC
363LF0000X
Family Nurse Practitioner
Primary
18602
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841435252
—
NC
05
—
NP2939
—
SC
Enumeration date
12/15/2008
Last updated
02/22/2022
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