Provider Demographics
NPI:1306033899
Name:RICE, ALLISON BAILEY (FNP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:BAILEY
Last Name:RICE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ANN EDWARDS LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5615
Mailing Address - Country:US
Mailing Address - Phone:843-884-8517
Mailing Address - Fax:843-856-1077
Practice Address - Street 1:100 ANN EDWARDS LN
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-5615
Practice Address - Country:US
Practice Address - Phone:843-884-8517
Practice Address - Fax:843-856-1077
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS878081363LF0000X
SC4090363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily