Nelson, Debra L

Nelson, Debra L is an individual health care provider with primary practice located at 1801 Sunset Dr Fl 2 , Columbia SC 29203-6803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nelson, Debra L can be contacted via phone (803) 434-4100.

Contact Information

Primary practice address
1801 Sunset Dr Fl 2 Columbia SC 29203-6803
Fax: (803) 434-4155
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 503 South Carolina

Profile Details

NPI number 1790749372
LBN Legal business name Nelson, Debra L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790749372 NPPES
South Carolina MEDICAID NP0994
South Carolina Other AA43413922

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