Healthcare Provider Details

I. General information

NPI: 1295374742
Provider Name (Legal Business Name): YVONNE STYLES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FRANKLIN SQUARE WAY STE A
EASLEY SC
29642-3715
US

IV. Provider business mailing address

105 FRANKLIN SQUARE WAY STE A
EASLEY SC
29642-3715
US

V. Phone/Fax

Practice location:
  • Phone: 864-442-4110
  • Fax: 864-442-4126
Mailing address:
  • Phone: 864-442-4110
  • Fax: 864-442-4126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number23472
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5021107
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11041597
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP002910
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: