Healthcare Provider Details

I. General information

NPI: 1992874895
Provider Name (Legal Business Name): DARLENE R FREEMAN RNC NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 MEDICAL PARK
COLUMBIA SC
29203
US

IV. Provider business mailing address

1129 HAGOOD AVE
COLUMBIA SC
29205-1320
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-7151
  • Fax: 803-434-6401
Mailing address:
  • Phone: 803-434-7151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number399
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number399
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: