Healthcare Provider Details

I. General information

NPI: 1467741108
Provider Name (Legal Business Name): ASHLEY L CHAPMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 PARK CENTRAL DR STE 200
COLUMBIA SC
29203-6476
US

IV. Provider business mailing address

121 PARK CENTRAL DR STE 200
COLUMBIA SC
29203-6476
US

V. Phone/Fax

Practice location:
  • Phone: 803-252-9907
  • Fax: 803-252-9906
Mailing address:
  • Phone: 803-252-9907
  • Fax: 803-252-9906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4501
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: