Individual provider · Type 1 NPI
Charles Anthony Ancrum, RN
Registered Nurse · Covington, GA
Practice location
20 Riverstone Dr
Covington, GA 30014-5027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 622351 (NY) |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 622351-01 (GA) |
| Critical Care Medicine Registered Nurse | 163WC0200X | 622351-01 (GA) |
| Wound Care Registered Nurse | 163WW0000X | 622351-01 (GA) |
| Administrator Registered Nurse | 163WA2000X | 622351-01 (GA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1306078357
Charles Anthony Ancrum, RN's National Provider Identifier is 1306078357, issued on Aug 10, 2009. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Covington, GA. The record was last updated on Sep 6, 2025.