Individual
MS. RENEE LUCILLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPITAL/CREDENTIALS, FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689
Mailing address
166 FALLSTAFF RD, COLUMBIA, SC 29229-8067
(803) 699-6208
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
301863
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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