Nurse Practitioner, Pediatrics
Mrs. SHANNAN TOOLE DUFAULT NPN
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275641144 · enumerated 2006-08-29 · record updated 2025-02-03. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2016 1ST AVE, SUMMERVILLE, SC, 29486-0408 (843) 873-4545 Fax (843) 873-1561 Google Maps Apple Maps OpenStreetMap
- Mailing address 1500 RIVERTOWNE COUNTRY CLUB DR, MOUNT PLEASANT, SC, 29466-8700 (843) 270-5902 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 2139 SC
In this directory
SC Berkeley County Summerville Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
SUMMERVILLE, SC, 294860408
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.