Individual provider · Type 1 NPI
Janna D. Licht, FNP
Family Nurse Practitioner · Charleston, SC
NPI number
1508050378
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-5712
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice locations
- 67 President St, Charleston, SC 29425-5712 · (843) 792-5907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2603 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508050378
Janna D. Licht, FNP's National Provider Identifier is 1508050378, issued on Sep 5, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Mar 14, 2018.