Individual
NICOLE DORIS LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1422 ASHLEY RIVER RD, CHARLESTON, SC 29407-5306
(844) 709-6719
Mailing address
1422 ASHLEY RIVER RD, CHARLESTON, SC 29407-5306
(844) 709-6719
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27959
SC
Other
Enumeration date
04/13/2023
Last updated
12/11/2023
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