Individual provider · Type 1 NPI
Talicia Durham, NP
Nurse Practitioner · Daniel Island, SC
Practice location
115 Fairchild St Ste 340
Daniel Island, SC 29492-7602
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 31334 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1174476022
Talicia Durham, NP's National Provider Identifier is 1174476022, issued on Feb 19, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daniel Island, SC. The record was last updated on Feb 19, 2026.