Individual provider · Type 1 NPI

Tanya Fuller-Pellin, FNP

Family Nurse Practitioner · Greenville, SC

NPI number 1639544240 Active

Practice location

255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530

Fax (864) 454-8125

Mailing address

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

Other practice locations

  • 220 Keowee Trl, Clemson, SC 29631-1448 · (864) 653-4071

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X19819 (SC)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X19819 (SC)

Family Nurse Practitioner: Definition to come...

28 other providers at this address

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About NPI 1639544240

Tanya Fuller-Pellin, FNP's National Provider Identifier is 1639544240, issued on Dec 8, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Aug 20, 2026.