Individual
MADISON NICOLE MILLSAPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-172106
AL
363LA2100X
Acute Care Nurse Practitioner
1-172106
AL
363LA2100X
Acute Care Nurse Practitioner
30259
SC
Other
Enumeration date
09/18/2021
Last updated
06/07/2026
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