Individual provider · Type 1 NPI

Tracy Madden

Licensed Practical Nurse · North Charleston, SC

NPI number 1508763202 Active

Practice location

2470 Mall Dr
North Charleston, SC 29406-6514

Call (803) 205-2779 Map

Mailing address

100 Cainhoy Landing Rd
Charleston, SC 29492-7801

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X57637 (SC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

22 other providers at this address

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About NPI 1508763202

Tracy Madden's National Provider Identifier is 1508763202, issued on Oct 24, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in North Charleston, SC. The record was last updated on Oct 24, 2026.