Individual
CASSANDRA SHIVAR PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
220 N MAIN ST STE 500, GREENVILLE, SC 29601-2129
(929) 299-4428
(929) 299-4428
Mailing address
10 BIG OAK ST, HILTON HEAD ISLAND, SC 29926-1140
(843) 460-0962
(929) 299-4428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN224536
GA
363LF0000X
Family Nurse Practitioner
212045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962190090
—
SC
Enumeration date
04/26/2023
Last updated
05/05/2025
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