Individual
UKEISHA RENEE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1064 GARDNER RD STE 302, CHARLESTON, SC 29407-5746
(854) 444-2838
(854) 444-2839
Mailing address
1064 GARDNER RD STE 302, CHARLESTON, SC 29407-5746
(854) 444-2838
(854) 444-2839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
APRN.24901
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.24901
SC
Other
Enumeration date
04/21/2021
Last updated
03/03/2023
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