person
Mrs. Charisse Dupree-henegan, REGISTERNURSE
General Practice Registered Nurse in Blythewood, South Carolina
NPI 1457923013

Charisse Dupree-henegan is a General Practice Registered Nurse based in Blythewood, SC and is specialized in General Practice. Charisse Dupree-henegan practices in Blythewood, SC and has the professional credentials of REGISTERNURSE. The NPI Number for Charisse Dupree-henegan is 1457923013 and holds a License No. 203456 (South Carolina).

The current practice location address for Charisse Dupree-henegan is 210 Pegonia Ln, Blythewood, SC and can be reached out via phone at 803-605-4161.

Location: 210 Pegonia Ln, Blythewood, SC, 29016-7234
person
Provider Profile Details
NPI Number
1457923013
Provider Name
Charisse Dupree-henegan
Credential
REGISTERNURSE
Provider Entity Type
Individual
Gender
Female
Address
210 Pegonia Ln, Blythewood, SC, 29016-7234
Phone Number
803-605-4161
Fax Number
Provider Enumeration Date
07/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
210 Pegonia Ln
City
State
Zip
29016-7234
Phone Number
803-605-4161
Fax Number
person
Provider Business Mailing Address Details
Address
210 Pegonia Ln
City
State
Zip
29016-7234
Phone Number
803-605-4161
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
203456 (South Carolina)
Definition
Definition to come...
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