Individual
FAUSTINA BELLO-OGUNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
96 JONATHAN LUCAS ST STE 420, CHARLESTON, SC 29425-7550
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231093
SC
163W00000X
Registered Nurse
419734
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24803
SC
Other
Enumeration date
06/11/2016
Last updated
01/13/2022
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