Provider Demographics
NPI:1710324736
Name:NEELEY, ALLISON REBECCA (RN)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:REBECCA
Last Name:NEELEY
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 1:1980 JOHN DODD RD
Mailing Address - Street 2:
Mailing Address - City:WELLFORD
Mailing Address - State:SC
Mailing Address - Zip Code:29385-9782
Mailing Address - Country:US
Mailing Address - Phone:864-809-6236
Mailing Address - Fax:
Practice Address - Street 1:3050 N BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-5566
Practice Address - Country:US
Practice Address - Phone:864-595-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC86690163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse