Carson, Stephanie Jo

Carson, Stephanie Jo is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr , Charleston SC 29414-7710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Carson, Stephanie Jo can be contacted via phone (843) 577-6957.

Contact Information

Primary practice address
2085 Henry Tecklenburg Dr Charleston SC 29414-7710
Phone: (843) 577-6957
Fax: (843) 577-6523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21741 South Carolina

Profile Details

NPI number 1609379288
LBN Legal business name Carson, Stephanie Jo
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2018
Last updated Sep 26th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609379288 NPPES
South Carolina MEDICAID NP5172

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