=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407153851
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VISIBLE RESULTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/22/2011
-----------------------------------------------------
Last Update Date | 02/22/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10555 OCEAN HWY SUITE C
-----------------------------------------------------
City | PAWLEYS ISLAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29585-6613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-237-5593
-----------------------------------------------------
Fax | 843-314-3223
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10555 OCEAN HWY SUITE C
-----------------------------------------------------
City | PAWLEYS ISLAND
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29585-6613
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-237-5593
-----------------------------------------------------
Fax | 843-314-3223
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JENIFER LACHICOTTE
-----------------------------------------------------
Credential | FNP
-----------------------------------------------------
Telephone | 843-237-5593
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 54-00597
-----------------------------------------------------
License Number State | SC
-----------------------------------------------------