Healthcare Provider Details

I. General information

NPI: 1497661599
Provider Name (Legal Business Name): LAUREN E HARLESTON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1938 CHARLIE HALL BLVD UNIT B
CHARLESTON SC
29414-6099
US

IV. Provider business mailing address

1938 CHARLIE HALL BLVD UNIT B
CHARLESTON SC
29414-6099
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-0227
  • Fax: 843-402-0232
Mailing address:
  • Phone: 843-402-0227
  • Fax: 843-402-0232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32403
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: