Individual
MCKINLEY NICOLE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 CHARLESFORT WAY, MONCKS CORNER, SC 29461-8883
(803) 552-5161
Mailing address
100 CHARLESFORT WAY, MONCKS CORNER, SC 29461-8883
(803) 552-5161
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002091690
VA
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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