Individual provider · Type 1 NPI
Jonathan Prince Anderson
Critical Care Medicine Registered Nurse · Charleston, SC
NPI number
1265223408
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
2313 High Tide Dr
Charleston, SC 29414-7064
Other practice locations
- 2313 High Tide Dr, Charleston, SC 29414-7064 · (864) 508-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 247739 (SC) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1265223408
Jonathan Prince Anderson's National Provider Identifier is 1265223408, issued on May 15, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charleston, SC. The record was last updated on May 15, 2025.