Individual
JULIE LYNN BRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4605 MONTICELLO RD, COLUMBIA, SC 29203-4156
(803) 754-0151
(803) 691-1778
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3504
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3504
LICENSE
SC
Enumeration date
08/08/2012
Last updated
08/08/2012
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