Healthcare Provider Details

I. General information

NPI: 1992625768
Provider Name (Legal Business Name): NICOLA ADAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 KING ST
CHARLESTON SC
29403-4182
US

IV. Provider business mailing address

1002 KING ST
CHARLESTON SC
29403-4182
US

V. Phone/Fax

Practice location:
  • Phone: 843-720-3085
  • Fax: 843-887-8303
Mailing address:
  • Phone: 843-720-3085
  • Fax: 843-887-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number204396
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: