Organization · Type 2 NPI
Clemson University
Family Nurse Practitioner · Walhalla, SC
NPI number
1093990707
Active
Practice location
200 Booker Dr
Walhalla, SC 29691-2278
Fax (843) 985-9562
Mailing address
101 Edwards Hall
Clemson, SC 29634-0001
Other practice locations
- 1181 Hutto St, Orangeburg, SC 29118-1467 · (803) 516-4227
- 101 Edwards Hall, Clemson, SC 29634-0001 · (864) 656-1969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
8 other providers at this address
- Clemson UniversityRural Health Clinic/Center Walhalla, SC NPI 1568345445
- Abigail P. Morningstar, RDRegistered Dietitian Walhalla, SC NPI 1881383099
- Brooke Allison Brittain, MS, RD, LD, CHESRegistered Dietitian Walhalla, SC NPI 1730798521
- Christina Diane Smith, FNPFamily Nurse Practitioner Walhalla, SC NPI 1518511229
- Jacqueline Gabrielle Wiles, APRN, FNP-BCFamily Nurse Practitioner Walhalla, SC NPI 1588211197
- Michelle Marie Deem, FNPFamily Nurse Practitioner Walhalla, SC NPI 1588778146
- Thomas C. Kickham, DOGeneral Practice Physician Walhalla, SC NPI 1669434437
- Timothy Aaron Zeller, MDFamily Medicine Physician Walhalla, SC NPI 1659381440
About NPI 1093990707
Clemson University's National Provider Identifier is 1093990707, issued on Jan 2, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Walhalla, SC. The record was last updated on Dec 15, 2025.