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Crystal Antwanette Kingcade, APRN
Nurse Practitioner in Columbia, South Carolina
NPI 1811496631

Crystal Antwanette Kingcade is a Nurse Practitioner based in Columbia, SC. Crystal Antwanette Kingcade practices in Columbia, SC and has the professional credentials of APRN. The NPI Number for Crystal Antwanette Kingcade is 1811496631 and holds a License No. 21587 (South Carolina).

The current practice location address for Crystal Antwanette Kingcade is 111 Doctor Cir, Columbia, SC and can be reached out via phone at 800-491-0909.

Location: 111 Doctor Cir, Columbia, SC, 29203-6502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811496631
Provider Name
Crystal Antwanette Kingcade
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
111 Doctor Cir, Columbia, SC, 29203-6502
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
111 Doctor Cir
City
Columbia
State
South Carolina
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
111 Doctor Cir
City
Columbia
State
South Carolina
Zip
29203-6502
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
21587 (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.
0024189346 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
21587 (South Carolina)
Definition
Definition to come...
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