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Latova Nichelle Quattlebaum, NP
Nurse Practitioner in Columbia, South Carolina
NPI 1659854255

Latova Nichelle Quattlebaum is a Nurse Practitioner based in Columbia, SC. Latova Nichelle Quattlebaum practices in Columbia, SC and has the professional credentials of NP. The NPI Number for Latova Nichelle Quattlebaum is 1659854255 and holds a License No. 21979 (South Carolina).

The current practice location address for Latova Nichelle Quattlebaum is 1228 Harden St Ste B, Columbia, SC and can be reached out via phone at 803-733-5969 and via fax at 803-753-5591.

Location: 1228 Harden St Ste B, Columbia, SC, 29230-3788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659854255
Provider Name
Latova Nichelle Quattlebaum
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1228 Harden St Ste B, Columbia, SC, 29230-3788
Phone Number
803-733-5969
Fax Number
803-753-5591
Provider Enumeration Date
09/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1228 Harden St Ste B
City
Columbia
State
South Carolina
Zip
29204-1800
Phone Number
803-733-5969
Fax Number
803-753-5591
person
Provider Business Mailing Address Details
Address
1228 Harden St Ste B
City
Columbia
State
South Carolina
Zip
29204-1800
Phone Number
803-733-5969
Fax Number
803-753-5591
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
21979 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
21979 (South Carolina)
Definition
Definition to come...
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