NPI 1457923013

Charisse Dupree-Henegan, REGISTERNURSE

Practitioner General Practice Registered Nurse Blythewood, SC

Practice location

Address: 210 Pegonia Ln, Blythewood, SC 29016-7234
Phone: (803) 605-4161

Registered specialties

General Practice Registered Nurse Primary

Nursing Service Providers Taxonomy 163WG0000X Licence 203456 (SC)

Other Registered Nurse providers in South Carolina →

Registry record

NPI: 1457923013
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2021
Record last updated: 13 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.