Provider Demographics
NPI:1316742166
Name:SINGLETARY, BETHANY LEANNE (FNP)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:LEANNE
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BRIGHTON PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-3012
Mailing Address - Country:US
Mailing Address - Phone:438-471-1135
Mailing Address - Fax:
Practice Address - Street 1:218 BRIGHTON PARK BLVD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-3012
Practice Address - Country:US
Practice Address - Phone:438-471-1135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30596363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily