Healthcare Provider Details

I. General information

NPI: 1538163209
Provider Name (Legal Business Name): NANCY J PARKMAN APRN, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 NORTHBROOK BLVD STE A
N CHARLESTON SC
29406-9252
US

IV. Provider business mailing address

2070 NORTHBROOK BLVD STE A
N CHARLESTON SC
29406-9252
US

V. Phone/Fax

Practice location:
  • Phone: 843-764-1732
  • Fax: 843-764-4719
Mailing address:
  • Phone: 843-764-1732
  • Fax: 843-764-4719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN833
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: