Provider Demographics
NPI:1578930574
Name:ALLISON, MICHELLE DUNCAN (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:DUNCAN
Last Name:ALLISON
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 DEWEY AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3009
Mailing Address - Country:US
Mailing Address - Phone:864-585-0366
Mailing Address - Fax:864-487-2729
Practice Address - Street 1:125 E ROBINSON ST
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-2444
Practice Address - Country:US
Practice Address - Phone:864-487-2710
Practice Address - Fax:864-487-2729
Is Sole Proprietor?:No
Enumeration Date:2015-08-25
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC236772163WP0808X
SC23079363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health