Healthcare Provider Details

I. General information

NPI: 1871264069
Provider Name (Legal Business Name): CAROLINE WHISENHUNT DENT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2021
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 FOREST DR STE 200
COLUMBIA SC
29206-4934
US

IV. Provider business mailing address

PO BOX 6069
WEST COLUMBIA SC
29171-6069
US

V. Phone/Fax

Practice location:
  • Phone: 803-744-4900
  • Fax: 803-314-5571
Mailing address:
  • Phone: 803-744-4900
  • Fax: 803-744-4938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number25438
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number25438
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: