MEDICARE: MICHELLE ALLENE SINGLETARY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	31099	SC

General Provider Information

NPI Number	:	1447100367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ALLENE SINGLETARY FNP

Provider Business Mailing Address
First Line	:	7700 OLD STAKE RD
Second Line	:
City	:	TABOR CITY
State	:	NC
Zip	:	28463-8708
Country	:	US
Telephone Number	:	843-366-3040
Fax Number	:	843-366-3041

Provider Business Practice Location Address
First Line	:	3980 HIGHWAY 9 E STE 110
Second Line	:
City	:	LITTLE RIVER
State	:	SC
Zip	:	29566-8163
Country	:	US
Telephone Number	:	843-366-3040
Fax Number	:	843-366-3041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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