Individual
NICOLE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4 CARRIAGE LN STE 200, CHARLESTON, SC 29407-6049
(843) 266-7573
Mailing address
200 FOXCROFT LN, MONCKS CORNER, SC 29461-6892
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
31605
SC
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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