Provider Demographics
NPI:1316000268
Name:TIMMS, CAROLINE (APRN, MS, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:TIMMS
Suffix:
Gender:F
Credentials:APRN, MS, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 E GREENVILLE ST
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-1580
Mailing Address - Country:US
Mailing Address - Phone:864-226-9193
Mailing Address - Fax:864-716-6732
Practice Address - Street 1:2000 E GREENVILLE ST
Practice Address - Street 2:SUITE 1600
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1580
Practice Address - Country:US
Practice Address - Phone:864-226-9193
Practice Address - Fax:864-716-6732
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1498363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily