Basic Information
| Provider Information | |||||||||
| NPI: | 1578930574 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLISON | ||||||||
| FirstName: | MICHELLE | ||||||||
| MiddleName: | DUNCAN | ||||||||
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| Credential: | APRN, PMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 DEWEY AVE | ||||||||
| Address2: | |||||||||
| City: | SPARTANBURG | ||||||||
| State: | SC | ||||||||
| PostalCode: | 293033009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645850366 | ||||||||
| FaxNumber: | 8644872729 | ||||||||
| Practice Location | |||||||||
| Address1: | 125 E ROBINSON ST | ||||||||
| Address2: | |||||||||
| City: | GAFFNEY | ||||||||
| State: | SC | ||||||||
| PostalCode: | 293402444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8644872710 | ||||||||
| FaxNumber: | 8644872729 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2015 | ||||||||
| LastUpdateDate: | 08/14/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0808X | 236772 | NC | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 363LP0808X | 23079 | SC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.