Individual
SHEILA MICHELLE BLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2607 HARLESTON GREEN DR, FLORENCE, SC 29505-7018
(843) 742-2893
Mailing address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(843) 942-9551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25635
SC
363LP2300X
Primary Care Nurse Practitioner
25635
SC
Other
Enumeration date
12/07/2021
Last updated
02/11/2026
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