Individual
NICHOLE SHIONTAINE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2275 INDIA HOOK RD, ROCK HILL, SC 29732-1223
(803) 329-1500
Mailing address
13500 THICKET CT, CHARLOTTE, NC 28273-6749
(704) 608-1186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29312
SC
Other
Enumeration date
07/22/2024
Last updated
09/24/2024
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