Individual provider · Type 1 NPI

Chassidy Balentine, NP

Gerontology Nurse Practitioner · Greenville, SC

NPI number 1902440753 Active

Practice location

890 W Faris Rd Ste 310
Greenville, SC 29605-4281

Fax (864) 455-8310

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X23041 (SC)
Gerontology Nurse Practitioner Primary 363LG0600X23041 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1902440753

Chassidy Balentine, NP's National Provider Identifier is 1902440753, issued on Nov 5, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on May 14, 2021.