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
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 24906 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 24906 (SC) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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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.