Provider Demographics
NPI:1588275101
Name:ST CLAIR, CHRISTINA LAUREN (APRN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LAUREN
Last Name:ST CLAIR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:CHRISTINA
Other - Middle Name:LAUREN
Other - Last Name:TURNBULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2411 HILTON DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-4325
Mailing Address - Country:US
Mailing Address - Phone:443-786-8450
Mailing Address - Fax:
Practice Address - Street 1:101 GRACE DR
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-9088
Practice Address - Country:US
Practice Address - Phone:888-515-3007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC243112163WC0200X
SC24563363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner