Healthcare Provider Details

I. General information

NPI: 1265858229
Provider Name (Legal Business Name): HEATHER L CAIN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BUCKWALTER PLACE BLVD STE 150
BLUFFTON SC
29910-5023
US

IV. Provider business mailing address

100 BUCKWALTER PLACE BLVD STE 150
BLUFFTON SC
29910-5023
US

V. Phone/Fax

Practice location:
  • Phone: 843-836-7120
  • Fax:
Mailing address:
  • Phone: 843-836-7120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number27005
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27005
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: