Renee Lucille Nelson, RN
Registered Nurse, Community Health in Fort Jackson, SC. Individual provider (NPI-1).
NPI number1720177702
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720177702
- Entity type
- Individual (NPI-1)
- Name
- Ms. Renee Lucille Nelson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 301863 | NY | Yes |
Practice location
4500 Stuart StMoncrief Army Community Hospital/Credentials
Fort Jackson, SC 29207-5720
Phone 803-751-2618 · Fax 803-751-2689
Mailing address
166 Fallstaff RdColumbia, SC 29229-8067
Phone 803-699-6208
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