Provider Demographics
NPI:1598456741
Name:MCCONNELL, CHELSEA DIANA (DNP-FNP-C)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:DIANA
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:DNP-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2807
Mailing Address - Country:US
Mailing Address - Phone:843-609-8717
Mailing Address - Fax:
Practice Address - Street 1:6450 RIVERS AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4882
Practice Address - Country:US
Practice Address - Phone:843-609-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27332363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care