Individual
CHERIKA STEPHANIE GADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
87 SPRINGVIEW LN, SUMMERVILLE, SC 29485
(843) 876-7979
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19568
SC
363LF0000X
Family Nurse Practitioner
Primary
19568
SC
363LP2300X
Primary Care Nurse Practitioner
19568
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3573
—
SC
Enumeration date
07/03/2015
Last updated
06/25/2018
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