Individual
MS. DEBRA L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1801 SUNSET DR FL 2, COLUMBIA, SC 29203-6803
(803) 434-4100
(803) 434-4155
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
503
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA43413922
MEDICARE PTAN
SC
05
—
NP0994
—
SC
Enumeration date
04/12/2006
Last updated
10/15/2018
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