Provider Demographics
NPI:1922484666
Name:PARAJON, EUNICE (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:EUNICE
Middle Name:
Last Name:PARAJON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MISS
Other - First Name:EUNICE
Other - Middle Name:
Other - Last Name:BADILLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:135 COMMONWEALTH DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4831
Mailing Address - Country:US
Mailing Address - Phone:864-675-4600
Mailing Address - Fax:864-675-4604
Practice Address - Street 1:135 COMMONWEALTH DR
Practice Address - Street 2:SUITE 120
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4831
Practice Address - Country:US
Practice Address - Phone:864-675-4600
Practice Address - Fax:864-675-4604
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC19537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily