Healthcare Provider Details

I. General information

NPI: 1124935614
Provider Name (Legal Business Name): MONICA LYNN LOWE DNP, APRN, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 WILLIAM E MURRAY BLVD
CHARLESTON SC
29414-5181
US

IV. Provider business mailing address

4315 WILLIAM E MURRAY BLVD
CHARLESTON SC
29414-5181
US

V. Phone/Fax

Practice location:
  • Phone: 919-606-6698
  • Fax:
Mailing address:
  • Phone: 919-606-6698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAG08260080
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: