Healthcare Provider Details

I. General information

NPI: 1083628663
Provider Name (Legal Business Name): EUGENIA REEVES RN,CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 KILMARNOK WAY
CHARLESTON SC
29414-7341
US

IV. Provider business mailing address

2 KILMARNOK WAY
CHARLESTON SC
29414-7341
US

V. Phone/Fax

Practice location:
  • Phone: 843-571-6339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number21845
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number21845
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number21845
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: