Provider Demographics
NPI:1528600632
Name:DASH, JOANNE
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:DASH
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:TOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 MOSSY OAKS RD APT B1
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-7611
Mailing Address - Country:US
Mailing Address - Phone:803-795-2422
Mailing Address - Fax:
Practice Address - Street 1:2201 MOSSY OAKS RD APT B1
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-7611
Practice Address - Country:US
Practice Address - Phone:803-795-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI94339163W00000X
SC226951163W00000X
NY322448-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse