Individual
DAISHA JERRICE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
SC HOUSE CALLS INC., 111 DOCTORS CIR., COLUMBIA, SC 29203
(800) 491-0909
Mailing address
SC HOUSE CALLS INC., 111 DOCTORS CIR., COLUMBIA, SC 29203
(800) 491-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8242
—
SC
01
—
SCM494
MEDICARE
SC
Enumeration date
09/14/2021
Last updated
04/26/2024
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