Individual provider · Type 1 NPI

Amy Jeanette Dievendorf, APRN

Nurse Practitioner · Columbia, SC

NPI number 1871802686 Active

Practice location

1655 Bernardin Avenue, Suite - 350
Columbia, SC 29204

Call (803) 253-7575 Map

Fax (803) 253-7571

Mailing address

330 Seven Springs Way, Suite - 425
Brentwood, TN 37027-5098

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4341SC (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…

2 other providers at this address

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About NPI 1871802686

Amy Jeanette Dievendorf, APRN's National Provider Identifier is 1871802686, issued on Sep 28, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, SC. The record was last updated on Jan 19, 2017.