Individual provider · Type 1 NPI

Latova Nichelle Quattlebaum, NP

Nurse Practitioner · Columbia, SC

NPI number 1659854255 Active

Practice location

1228 Harden St Ste B
Columbia, SC 29204-1800

Call (803) 733-5969 Map

Fax (803) 753-5591

Mailing address

PO Box 3788
Columbia, SC 29230-3788

Other practice locations

  • 1301 Taylor St Ste J, Columbia, SC 29201-2942 · (803) 296-2942

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X21979 (SC)
Nurse Practitioner Primary 363L00000X21979 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

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About NPI 1659854255

Latova Nichelle Quattlebaum, NP's National Provider Identifier is 1659854255, issued on Sep 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, SC. The record was last updated on Dec 13, 2021.