Doctor Name: | MISS CHARLOTTE HATCHELL STEPHENS |
NPI Number: | 1396799631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, DNP, FNP |
License Number: | APN1068 |
Business Practice Address: | 2101 Dutch Fork Rd Chapin, SC - 290367576 |
Business Phone Number: | 9107429243 |
Business Fax Number: | 8887461787 |
Mailing Address: | Po Box 16310, WILMINGTON |
State: | NC |
Postal Code: | 284086310 |
Phone Number: | 9107429243 |
Fax Number: | 8887461787 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN1068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |