Healthcare Provider Details

I. General information

NPI: 1982951000
Provider Name (Legal Business Name): JULIE LYNN BRASHER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 10/14/2026
Certification Date: 10/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1228 HARDEN ST STE A
COLUMBIA SC
29204-1800
US

IV. Provider business mailing address

PO BOX 3788
COLUMBIA SC
29230-3788
US

V. Phone/Fax

Practice location:
  • Phone: 803-722-1565
  • Fax: 803-888-1771
Mailing address:
  • Phone: 803-733-5969
  • Fax: 803-217-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3504
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: