Individual
REBECCA RENEE FERNEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 2ND AVE STE 201, SUMMERVILLE, SC 29486-7887
(843) 572-4840
Mailing address
PO BOX 31665, CHARLOTTE, NC 28231-1665
(843) 793-6980
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28003
SC
363LF0000X
Family Nurse Practitioner
353256
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2023
Last updated
07/29/2026
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