Individual
MS. INGRID PATRICIA PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RN CPNP
Contact information
Practice address
120 W CHURCH ST, BATESBURG, SC 29006-2107
(803) 532-2208
(803) 604-0207
Mailing address
120 W CHURCH ST, BATESBURG-LEESVILLE, SC 29006-2107
(803) 532-2208
(803) 604-0207
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1003
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0181
—
SC
Enumeration date
10/11/2006
Last updated
03/07/2011
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