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 | 363L00000X | Nurse Practitioner | | 214450 | SOUTH CAROLINA | No |
2 | 363L00000X | Nurse Practitioner | | RN160040 | GEORGIA | No |
3 | 363LF0000X | Nurse Practitioner | Family | APN.17989 RX | SOUTH CAROLINA | No |
4 | 363LP0200X | Nurse Practitioner | Pediatrics | APN.17989 RX | SOUTH CAROLINA | No |
5 | 363LF0000X | Nurse Practitioner | Family | RN160040 | GEORGIA | Yes |