Provider Demographics
NPI:1467775205
Name:LOUIS-JEAN, PASCALE (RN)
Entity Type:Individual
Prefix:
First Name:PASCALE
Middle Name:
Last Name:LOUIS-JEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 TWO NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6303
Mailing Address - Country:US
Mailing Address - Phone:803-269-8403
Mailing Address - Fax:803-269-8403
Practice Address - Street 1:8311 TWO NOTCH RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6303
Practice Address - Country:US
Practice Address - Phone:803-269-8403
Practice Address - Fax:803-269-8403
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR103906163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator