Nikki Green, RN
Registered Nurse in Columbia, SC. Individual provider (NPI-1).
NPI number1619704061
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1619704061
- Entity type
- Individual (NPI-1)
- Name
- Nikki Green
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 209740 | SC | Yes |
Practice location
652 Camp Ground RdColumbia, SC 29203-9600
Phone 803-665-4223
Mailing address
652 Camp Ground RdColumbia, SC 29203-9600
Phone 803-665-4223
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