Provider Demographics
NPI:1497556757
Name:SMALLEY, SOMER NICHOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:SOMER
Middle Name:NICHOLE
Last Name:SMALLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 CHURCH STREET EXT
Mailing Address - Street 2:
Mailing Address - City:DONALDS
Mailing Address - State:SC
Mailing Address - Zip Code:29638-9159
Mailing Address - Country:US
Mailing Address - Phone:864-200-9024
Mailing Address - Fax:
Practice Address - Street 1:1325 SPRING ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-3875
Practice Address - Country:US
Practice Address - Phone:864-725-4111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily