Ian Shaver
Ian Shaver is a Nurse Practitioner in Clinton, South Carolina. Qualified in 2022, 4 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.
- Years since qualifying
- 4
- Licensed in
- NC, SC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
939 Springdale DrClinton, SC 29325-7266
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1086 Secessionville Rd, Charleston, SC 29412-9744 — (704) 681-2417
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 27278 (SC) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence 321428 (NC) |
Record details
| NPI number | 1356041065 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 9, 2023 |
| Last updated in NPPES | May 22, 2023 |
| Certification date | May 22, 2023 |
| Mailing address | 1086 Secessionville Rd, Charleston, SC 29412-9744 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Lifesource Of North Carolina — 170 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Clinton
-
Vivian Breslin, NURSEPRACTITIONER
939 Springdale Dr, Clinton, SC 29325-7266 · (910) 742-9243
-
Paulette Beverly Brown
939 Springdale Dr, Clinton, SC 29325-7266 · (910) 742-9243
-
Catherine M Kearon, PMHNP
939 Springdale Dr, Clinton, SC 29325-7266 · (910) 742-9243