Individual
IRENE JAMES-FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1494 LAKE MURRAY BLVD FL 2, COLUMBIA, SC 29212-8697
(803) 764-1230
Mailing address
PO BOX 291752, COLUMBIA, SC 29229-0030
(803) 260-8676
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
19956
SC
363LG0600X
Gerontology Nurse Practitioner
19956
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
19956
SC
Other
Enumeration date
03/25/2016
Last updated
04/04/2016
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