Tolley, Kristin Nicole

Tolley, Kristin Nicole is an individual health care provider with primary practice located at 3308 Brushy Creek Rd , Greer SC 29650-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tolley, Kristin Nicole can be contacted via phone (864) 752-2000.

Contact Information

Primary practice address
3308 Brushy Creek Rd Greer SC 29650-1002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19167 South Carolina

Profile Details

NPI number 1043617251
LBN Legal business name Tolley, Kristin Nicole
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2014
Last updated Mar 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043617251 NPPES
South Carolina MEDICAID NP3084

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