Individual provider · Type 1 NPI

Charisse Dupree-Henegan, REGISTER NURSE

General Practice Registered Nurse · Blythewood, SC

NPI number 1457923013 Active

Practice location

210 Pegonia Ln
Blythewood, SC 29016-7234

Call (803) 605-4161 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X203456 (SC)

General Practice Registered Nurse: Definition to come...

About NPI 1457923013

Charisse Dupree-Henegan, REGISTER NURSE's National Provider Identifier is 1457923013, issued on Jul 13, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Blythewood, SC. The record was last updated on Jul 13, 2021.