Provider Demographics
NPI:1568572139
Name:MORROW, JANICE H (DNP RNC CS BC)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:H
Last Name:MORROW
Suffix:
Gender:F
Credentials:DNP RNC CS BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 CHARITY LN
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-1043
Mailing Address - Country:US
Mailing Address - Phone:803-960-2361
Mailing Address - Fax:
Practice Address - Street 1:524 CHARITY LN
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-1043
Practice Address - Country:US
Practice Address - Phone:803-960-2361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRX644363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP0018Medicaid
SC54-24778OtherSC DEA
SCMM1428538OtherFEDERAL DEA
SCS691633353Medicare PIN
SCS691633357Medicare PIN