Individual
KRISTEN LEIGH TALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-0029
(864) 329-8125
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
20158
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4220
—
SC
Enumeration date
06/16/2016
Last updated
05/07/2025
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