Individual
KRISTI ANN TUCKER DONLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
106 PHYSICIANS DR, GREER, SC 29650-2445
(864) 797-9100
(864) 241-9239
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18255
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2454
—
SC
Enumeration date
03/19/2008
Last updated
06/02/2021
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