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 | 314000000X | Skilled Nursing Facility | | APRN 4337 | SOUTH CAROLINA | No |
| 2 | 363LA2200X | Nurse Practitioner | Adult Health | APRN 4337 | SOUTH CAROLINA | Yes |