Healthcare Provider Details

I. General information

NPI: 1962187278
Provider Name (Legal Business Name): CAYCE LYN PARKER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WINDERMERE BLVD
CHARLESTON SC
29407-7412
US

IV. Provider business mailing address

PO BOX 632516
CINCINNATI OH
45263-2516
US

V. Phone/Fax

Practice location:
  • Phone: 843-766-9053
  • Fax: 843-766-8853
Mailing address:
  • Phone: 888-472-0043
  • Fax: 513-653-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number27315
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: