SearchSouth CarolinaPsychiatric/Mental Health Nurse Practitioner

Ian Shaver

NPI 1356041065 · on the registry since 2023 · sole proprietor

Practice

Address
939 Springdale Dr
Clinton, SC 29325
Phone
(910) 742-9243
Fax
(888) 746-1787
Organisation at this address
Lifesource Prime Inc
Assisted Living Concepts Inc
Lifesource Of North Carolina
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Additional practice sites

  • 1086 Secessionville Rd, Charleston, SC

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
NC, SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina