Tearra Bookard, LPN
Licensed Practical Nurse in Greenville, SC. Individual provider (NPI-1).
NPI number1780580332
StatusActive
Last updated in NPPESOct 19, 2026
Details
- NPI
- 1780580332
- Entity type
- Individual (NPI-1)
- Name
- Tearra Bookard
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2026
- Certification date
- Oct 19, 2026
- Last updated
- Oct 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 56243 | SC | Yes |
Practice location
529 Mills AveGreenville, SC 29605-4218
Phone 864-590-7764
Mailing address
102 Portchester LnGreenville, SC 29605-6228
Phone 864-590-7764
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