Organization · Type 2 NPI
Abundant Grace Wellness, LLC
Adult Health Nurse Practitioner · Charleston, SC
NPI number
1962092114
Active
Practice location
2045 Maybank Hwy
Charleston, SC 29412
Fax (843) 768-1473
Mailing address
2414 Racquet Club Drive
Johns Island, SC 29455-6300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
| Community Health Nurse Practitioner | 363LC1500X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1962092114
Abundant Grace Wellness, LLC's National Provider Identifier is 1962092114, issued on Jan 21, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Charleston, SC. The record was last updated on Sep 14, 2023.