Provider Demographics
NPI:1831329044
Name:HOLLINGSWORTH, STEPHANIE F (APRN)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:F
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 TAYLOR ST
Mailing Address - Street 2:SUITE 3-H
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2923
Mailing Address - Country:US
Mailing Address - Phone:803-296-3500
Mailing Address - Fax:803-296-3965
Practice Address - Street 1:1333 TAYLOR ST
Practice Address - Street 2:SUITE 3-H
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2923
Practice Address - Country:US
Practice Address - Phone:803-296-3500
Practice Address - Fax:803-296-3965
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3366363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily