Organization · Type 2 NPI

South Carolina PHS PC

Nurse Practitioner · North Charleston, SC

NPI number 1821394438 Active

Practice location

6650 Rivers Ave
North Charleston, SC 29406-4809

Call (877) 260-4747 Map

Mailing address

1509 Dulles Drive
Lafayette, LA 70506

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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…

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About NPI 1821394438

South Carolina PHS PC's National Provider Identifier is 1821394438, issued on Jan 28, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Charleston, SC. The record was last updated on Jul 2, 2014.