Doctor Name: | MISS KRISTENE C DIGGINS |
NPI Number: | 1033299581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 18293 |
Business Practice Address: | 7697 Charlotte Hwy Suite 107 Indian Land, SC - 297079653 |
Business Phone Number: | 7045798210 |
Business Fax Number: | |
Mailing Address: | 7697 Charlotte Hwy, Suite 500 INDIAN LAND |
State: | SC |
Postal Code: | 297079653 |
Phone Number: | 7045798210 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 10/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 18293 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |