Provider Demographics
NPI:1518387281
Name:CAUSEY, JUNE (RN)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:CAUSEY
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 1:3956 LONG AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-6428
Mailing Address - Country:US
Mailing Address - Phone:843-915-8803
Mailing Address - Fax:843-915-6506
Practice Address - Street 1:3956 LONG AVENUE EXT
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-6428
Practice Address - Country:US
Practice Address - Phone:843-915-8803
Practice Address - Fax:843-915-6506
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC45923163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health