Individual
CHASSIDY BALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
890 W FARIS RD STE 310, GREENVILLE, SC 29605-4281
(864) 455-8300
(864) 455-8310
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23041
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
23041
SC
Other
Enumeration date
11/05/2019
Last updated
05/14/2021
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