Healthcare Provider Details
I. General information
NPI: 1679088942
Provider Name (Legal Business Name): CAITLIN WELLS BRIGGS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/08/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
457 SPRUCE ST
WALTERBORO SC
29488-2766
US
IV. Provider business mailing address
491 WHISPERING BREEZE LN
SUMMERVILLE SC
29486-8206
US
V. Phone/Fax
- Phone: 843-781-7428
- Fax:
- Phone: 864-994-7010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 21317 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 21317 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: