Individual provider · Type 1 NPI
Tanner Elijah Koon, NP
Family Nurse Practitioner · Clinton, SC
NPI number
1801671862
Active
Practice location
500 Plaza Cir Ste J
Clinton, SC 29325-7559
Fax (864) 408-8675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 27805 (SC) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1801671862
Tanner Elijah Koon, NP's National Provider Identifier is 1801671862, issued on Aug 29, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clinton, SC. The record was last updated on Jun 23, 2025.