Welborn, Nicole Elizabeth

Welborn, Nicole Elizabeth is an individual health care provider with primary practice located at 200 N Nelson Dr , Fountain Inn SC 29644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Welborn, Nicole Elizabeth can be contacted via phone (864) 522-6270.

Contact Information

Primary practice address
200 N Nelson Dr Fountain Inn SC 29644
Phone: (864) 522-6270
Fax: (864) 522-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20242 South Carolina

Profile Details

NPI number 1619420650
LBN Legal business name Welborn, Nicole Elizabeth
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2016
Last updated Mar 15th, 2022 - about 2 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 1619420650 NPPES
South Carolina MEDICAID NP4225

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