Most Relevant Information
Provider Data
| NPI Number: | 1003340977 |
| Provider Name: | NING SUN FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 20916 |
Most Important Dates
| Enumeration Date: | 04/17/2017 |
| Last Updated: | 07/02/2019 |
Provider Practice Location
4144 CLEMSON BLVD
ANDERSON
SC
296211108
Practice Location Phone/Fax
| Phone: | 8642249598 |
| Fax: |
Provider Mailing Location
4144 CLEMSON BLVD
ANDERSON
SC
296211108
Provider Mailing Phone/Fax
| Phone: | 8642249598 |
| Fax: |