JUDY REYNOLDS RABON RNBSNMSNFNPC NPI 1255623674

NPI Information

NPI: 1255623674
Provider Name: JUDY REYNOLDS RABON, RN,BSN,MSN,FNPC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
723 BROKEN BIT RD
REMBERT, SC
ZIP 29128
Phone: (803) 432-5565
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Judy Reynolds Rabon, RN,BSN,MSN,FNPC is a family nurse practitioner in Rembert, SC. Judy Reynolds Rabon, RN,BSN,MSN,FNPC NPI is 1255623674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

723 BROKEN BIT RD
REMBERT, SC
ZIP 29128-628
Phone: (803) 432-5565

The enumeration date for this NPI number is 5/3/2011 and was last updated on 6/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SC4108	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1255623674	OTHER	SOUTH CAROLINA	ADVANTAGE HEALTH AND WELLNESS CENTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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