Provider Demographics
NPI:1629670534
Name:ALMAN, CHARNELL KINSLEIGH (RN)
Entity Type:Individual
Prefix:
First Name:CHARNELL
Middle Name:KINSLEIGH
Last Name:ALMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 MOORES XING
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-3531
Mailing Address - Country:US
Mailing Address - Phone:850-529-7767
Mailing Address - Fax:
Practice Address - Street 1:465 MOORES XING
Practice Address - Street 2:
Practice Address - City:ROEBUCK
Practice Address - State:SC
Practice Address - Zip Code:29376-3531
Practice Address - Country:US
Practice Address - Phone:850-529-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC239979163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty