Individual
ASHLEY DURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1308 LAUREL ST, COLUMBIA, SC 29201-2514
(803) 931-8166
Mailing address
1308 LAUREL ST, COLUMBIA, SC 29201-2514
(803) 931-8166
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
200172
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
22705
SC
Other
Enumeration date
03/28/2013
Last updated
03/02/2020
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