Healthcare Provider Details

I. General information

NPI: 1255243630
Provider Name (Legal Business Name): SHAIANNE MARIE PARSONS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MIDTOWN DR
BEAUFORT SC
29906-5200
US

IV. Provider business mailing address

300 MIDTOWN DR
BEAUFORT SC
29906-5200
US

V. Phone/Fax

Practice location:
  • Phone: 843-707-8040
  • Fax: 833-906-2341
Mailing address:
  • Phone: 843-707-8040
  • Fax: 833-906-2341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number32806
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: