Provider Demographics
NPI:1427552439
Name:QUINN, SUSAN DANIELLE (DNP, APRN, FN-BC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:DANIELLE
Last Name:QUINN
Suffix:
Gender:F
Credentials:DNP, APRN, FN-BC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:DANIELLE
Other - Last Name:ASHBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, FNP-BC
Mailing Address - Street 1:900 ASSEMBLY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3938
Mailing Address - Country:US
Mailing Address - Phone:803-767-0771
Mailing Address - Fax:
Practice Address - Street 1:900 ASSEMBLY ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3938
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:803-779-1407
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21602363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily