KEYONNA PORTER

SUMMERVILLE, SC
NPI1891159794
Former NameKEYONNA WILLIAMS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  20196)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: SC  20196)
363LF0000X Nurse Practitioner, Family
(Licence: NM  71593)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: SC  204921)
Enumeration Date2016-04-07
Last Update Date2023-05-15
Business Address
Mrs. KEYONNA PORTER NP
1114 N MAIN ST
SUMMERVILLE, SC 29483-7326
Phone number: 843-212-8070
Mailing Address
Mrs. KEYONNA PORTER NP
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620