Individual provider · Type 1 NPI

Shatarra Tavonia Salley, APRN, FNP-C, PMHNP

Family Nurse Practitioner · Greer, SC

NPI number 1639795859 Active

Practice location

13455 E Wade Hampton Blvd Ste 17
Greer, SC 29651-6276

Fax (864) 499-2697

Mailing address

PO Box 749306
Atlanta, GA 30374-9306

Other practice locations

  • 2400 Boiling Springs Rd, Boiling Springs, SC 29316-5304 · (864) 599-0731
  • 115 Southport Rd, Spartanburg, SC 29306-3813 · (864) 520-2020
  • 1762 E Main St, Spartanburg, SC 29307-2231 · (864) 968-9144

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X24906 (SC)
Family Nurse Practitioner Primary 363LF0000X24906 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1639795859

Shatarra Tavonia Salley, APRN, FNP-C, PMHNP's National Provider Identifier is 1639795859, issued on Jun 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greer, SC. The record was last updated on May 30, 2025.