Provider Demographics
NPI:1710412242
Name:VIGIL, ALLISON KATHRYN (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:KATHRYN
Last Name:VIGIL
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:955 RIBAUT RD
Mailing Address - Street 2:BMAC CREDENTIALING
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5441
Mailing Address - Country:US
Mailing Address - Phone:843-522-5674
Mailing Address - Fax:843-522-5678
Practice Address - Street 1:BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH
Practice Address - Street 2:1 BURNT CHURCH RD, STE A
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-6405
Practice Address - Country:US
Practice Address - Phone:843-706-2185
Practice Address - Fax:855-299-5693
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2020-01-24
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Provider Licenses
StateLicense IDTaxonomies
SC20410363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP4522Medicaid
SC20410OtherSTATE LICENSE BOARD