Individual provider · Type 1 NPI

Corrinna J. M. O'Bannon

Acute Care Nurse Practitioner · Greenville, SC

NPI number 1508045808 Active

Practice location

1005 Grove Rd
Greenville, SC 29605-4630

Call (864) 455-6900 Map

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	2844 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1508045808

Corrinna J. M. O'Bannon's National Provider Identifier is 1508045808, issued on Nov 2, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Greenville, SC. The record was last updated on Aug 3, 2026.