Provider Demographics
NPI:1598471880
Name:MYERS, DANA GRACE (MSN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:GRACE
Last Name:MYERS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8005 EXETER LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-2586
Mailing Address - Country:US
Mailing Address - Phone:254-258-7283
Mailing Address - Fax:
Practice Address - Street 1:8005 EXETER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-2586
Practice Address - Country:US
Practice Address - Phone:254-258-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27000A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily