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NPI Verification

National Provider Identifier: 1013753243

Christina Jocklene Edwards, Agpcnp-C

Individual Provider

Credentials

AGPCNP-C

Primary Specialty

Nurse Practitioner

Code: 363L00000X

All Specialties (3)

Urology

Code: 208800000X

Nurse Practitioner, Primary Care

Code: 363LP2300X

Nurse Practitioner

Code: 363L00000X

Primary

Practice Address

2750 LAUREL ST STE 103

COLUMBIA, SC 292042023

Phone: 803-865-4934

NPI Enumeration Date

July 8, 2024

NPI Number

1013753243

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry