Individual provider · Type 1 NPI

Emmeline Short

Family Nurse Practitioner · Columbia, SC

NPI number 1760868962 Active

Practice location

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896

Fax (803) 434-3955

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X19681 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1760868962

Emmeline Short's National Provider Identifier is 1760868962, issued on Aug 11, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Apr 27, 2021.