Individual
CASEY MICHELLE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 214-0927
Mailing address
110 GLENSPRING DR, SUMMERVILLE, SC 29486-2536
(843) 730-3473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21175
SC
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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