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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KELLY SUSANNE DACRE

Active

Child & Adolescent Psychiatric Nurse · AIKEN, SC

Registration Details

NPI Number
1114705969
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2023 (2.6158068944706 yrs)
Last Updated
Sep 21, 2023
License
258436 (SC)

Practice Information

Address
1135 GREGG HWY NW
AIKEN, SC, 298016341
Browse SC providers · Browse ZIP 29801
Phone
8036417700
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in AIKEN, SC

Name Credential NPI
LAURA SIMPSON BSN 1598123721
MRS. SHERRELL TRULL SIZEMORE RN 1932696671
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.