MEDICARE: MRS. CARRIE ELLIOTT HOSHOUR FNP

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
1	363LF0000X	Family Nurse Practitioner	19164	SC
2	363LF0000X	Family Nurse Practitioner	F1014216	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19164	OTHER	SC	STATE LICENSE

General Provider Information

NPI Number	:	1467856930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CARRIE ELLIOTT HOSHOUR FNP

Provider Business Mailing Address
First Line	:	540 PHYSICIANS LN
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-3370
Country	:	US
Telephone Number	:	803-883-5171
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 PHYSICIANS LN
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-3370
Country	:	US
Telephone Number	:	803-883-5171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	02/12/2026

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