Individual provider · Type 1 NPI
Ala Bianca Naomi Lucky, NP
Nurse Practitioner · Columbia, SC
Practice location
1718 Saint Julian Pl
Columbia, SC 29204-2410
Mailing address
753 S Sage Drop Rd
Blythewood, SC 29016-9265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 21969 (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…
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- Shamera LaneNurse Practitioner Columbia, SC NPI 1013735034
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About NPI 1902391469
Ala Bianca Naomi Lucky, NP's National Provider Identifier is 1902391469, issued on Jun 27, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, SC. The record was last updated on Jun 29, 2026.