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NPI Code Detail

MEDICARE: LYNDSEY DESTEFANO CHAPMAN DNP, FNP-C

MEDICARE: LYNDSEY DESTEFANO CHAPMAN DNP, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner29029SC

General Provider Information

NPI Number : 1194553933
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNDSEY DESTEFANO CHAPMAN DNP, FNP-C
Provider Business Mailing Address
First Line : 350 CROSS ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-6905
Country : US
Telephone Number : 843-906-4229
Fax Number :
Provider Business Practice Location Address
First Line : 717 FOLLY RD STE 204
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-3432
Country : US
Telephone Number : 843-608-0158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2024
Last Update Date : 07/23/2024

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