SHELLY CONNER (NPI# 1114301165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114301165 |
| Entity Type | Individual |
| Full Name | SHELLY CONNER |
| Other Name | SHELLY HAMMEL |
| Credential | NP-C |
| Practice Address |
1268 S 4th St Hartsville SC 29550-0703 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 8433323422 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22865 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP015543 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN 82589-NP-C | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Plaza Dr, Montoursville, PA 177542448 | 5703683321 | 5706018542 |
| Street Address |
1268 S 4TH ST |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550-0703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720082571 | Caresouth Carolina, Inc. | Clinic/Center | 1268 S 4th St, Hartsville, SC 29550-0703 | 2005-06-09 |
| 1457963043 | Lindsay Martin King | Pharmacist | 1268 S 4th St, Hartsville, SC 29550-0703 | 2020-08-17 |
| 1063069441 | Jocelyn Boyer | Social Worker | 1268 S 4th St, Hartsville, SC 29550 | 2019-08-21 |
| 1033673405 | Katelon Marie Smith | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2019-01-29 |
| 1518477553 | Mary Hinson | Pharmacist | 1268 S 4th St, Hartsville, SC 29550-0703 | 2017-10-04 |
| 1841721529 | Heather Deanna Alexander | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2017-03-23 |
| 1144670266 | Daniel R Conner | Family Medicine | 1268 S 4th St, Hartsville, SC 29550-0703 | 2016-06-20 |
| 1740663038 | Jennifer M Lynch | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2015-07-03 |
| 1821480195 | Angela Council | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2015-02-24 |
| 1104221647 | Amy Law | Pharmacist | 1268 S 4th St, Hartsville, SC 29550-0703 | 2014-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1902347677 | William H Long LLC | Family Medicine | 420a W Carolina Ave, Hartsville, SC 29550 | 2017-03-15 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265093470 | Casey Gooden Mcleod | Nurse Practitioner | 604 N 5th St, Hartsville, SC 29550-3212 | 2019-06-27 |
| 1477065837 | Kai-l Cobb | Nurse Practitioner | 140 Macon Way, Hartsville, TN 37074-2080 | 2017-10-25 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1144531658 | Crowder Family Healthcare | Nurse Practitioner | 211 East Mcmurry Blvd., Hartsville, TN 37074 | 2010-06-30 |
| 1225364474 | Amanda S Livingston | Nurse Practitioner | 755 Mcmurry Blvd E, Hartsville, TN 37074-2041 | 2009-10-22 |
| 1275680704 | James A Grzech | Nurse Practitioner | 448 Novelty Ave, Hartsville, SC 29550-3300 | 2007-01-05 |
| 1942239736 | Andrea B Trader | Nurse Practitioner | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2006-07-02 |
| 1033673405 | Katelon Marie Smith | Nurse Practitioner | 1268 S 4th St, Hartsville, SC 29550-0703 | 2019-01-29 |
| 1992286173 | Megan Elizabeth Whitaker | Nurse Practitioner | 213 Broadway, Hartsville, TN 37074-1303 | 2018-08-24 |
| 1700375136 | Jacob Michael Stephens | Nurse Practitioner | 140 Macon Way, Hartsville, TN 37074 | 2018-05-01 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
Please comment or provide details below to improve the information on SHELLY CONNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.