Individual
KIMBERLY CELESTE MOUZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3016 LONGTOWN COMMONS DR STE 100, COLUMBIA, SC 29229-7862
(803) 314-0500
(803) 314-0501
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20236
SC
363LF0000X
Family Nurse Practitioner
20236
SC
Other
Enumeration date
06/13/2016
Last updated
01/16/2024
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