Tisheila Diane Whitted
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine
2720 Sunset Blvd
West Columbia
, South Carolina 29169-4810
Tisheila Diane Whitted
Nurse Practitioner Nurse Practitioner - Acute Care Nurse Practitioner - Adult Health Nurse Practitioner - Family Medicine
2720 Sunset Blvd
West Columbia
, South Carolina 29169-4810
(803) 936-4102
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Tisheila Diane Whitted
- Po Box 6069
- West Columbia, SC
- Zip : 29171-6069
- Fax : (803) 936-4102
- Phone : (803) 791-2480
Second Address
- Tisheila Diane Whitted
- 2720 Sunset Blvd
- West Columbia, SC
- Zip : 29169-4810
- Fax : (803) 936-4102
- Phone : (803) 791-2480
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 24754 | SC |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 24754 | SC |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 24754 | SC |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 24754 | SC |
National Provider Identifier
| NPI | 1003481607 |
|---|---|
| Provider Name | Tisheila Diane Whitted |
| First Address | West Columbia, SC 29171-6069 |
| Second Address | West Columbia, SC 29169-4810 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2021 |
| Last Update Date | 03/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.