Healthcare Provider Details

I. General information

NPI: 1275425308
Provider Name (Legal Business Name): BRIANNA YVETTE HILL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRIANNA YVETTE SMITH RN

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 COLUMBUS ST
CHARLESTON SC
29403-5637
US

IV. Provider business mailing address

66 COLUMBUS ST
CHARLESTON SC
29403-5637
US

V. Phone/Fax

Practice location:
  • Phone: 843-400-1999
  • Fax: 843-745-2184
Mailing address:
  • Phone: 843-400-1999
  • Fax: 843-745-2184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number216903
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: