Provider Demographics
NPI:1619868536
Name:GARRON, KIRSTYN KIRKLAND (PMHNP, APRN)
Entity type:Individual
Prefix:
First Name:KIRSTYN
Middle Name:KIRKLAND
Last Name:GARRON
Suffix:
Gender:F
Credentials:PMHNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 FALCON CT
Mailing Address - Street 2:
Mailing Address - City:HODGES
Mailing Address - State:SC
Mailing Address - Zip Code:29653-9067
Mailing Address - Country:US
Mailing Address - Phone:864-337-3013
Mailing Address - Fax:
Practice Address - Street 1:144 FALCON CT
Practice Address - Street 2:
Practice Address - City:HODGES
Practice Address - State:SC
Practice Address - Zip Code:29653-9067
Practice Address - Country:US
Practice Address - Phone:864-337-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC228609363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health