Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Elijah Koon, NP

Individual provider Family Nurse Practitioner · NPI 1801671862

Tanner Elijah Koon, NP is a Family Nurse Practitioner in Clinton, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.

Licensed in
SC
In the registry since
2023
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

500 Plaza Cir Ste J
Clinton, SC 29325-7559
Phone: (864) 681-0555
Fax: (864) 408-8675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 27805 (SC)

Record details

NPI number1801671862
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 29, 2023
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address500 Plaza Cir Ste J, Clinton, SC 29325-7559

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