Healthcare Provider Details

I. General information

NPI: 1265353577
Provider Name (Legal Business Name): NIKKI LOUISE GARWOOD MSN, FNP-BC,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 SUM MOR DR
WEST COLUMBIA SC
29169-4828
US

IV. Provider business mailing address

1427 BUCK HILL LANDING RD
RIDGEWAY SC
29130-9276
US

V. Phone/Fax

Practice location:
  • Phone: 803-254-4699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32345
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: