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NPI Code Detail

MEDICARE: MRS. ALISON LEAH GIFFORD APRN, FNP-C

MEDICARE:  MRS. ALISON LEAH GIFFORD  APRN, 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 Practitioner21366SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121366OTHERSCAPRN LICENSE

General Provider Information

NPI Number : 1588174171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISON LEAH GIFFORD APRN, FNP-C
Provider Business Mailing Address
First Line : 182 N VON STEUBEN CIR
Second Line :
City : GOOSE CREEK
State : SC
Zip : 29445-6232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2375 BAKER HOSPITAL BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-8233
Country : US
Telephone Number : 843-744-2750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2017
Last Update Date : 10/09/2017

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Directions to “ MRS. ALISON LEAH GIFFORD APRN, FNP-C” Practice Location

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