IndividualActive
Brooke Fernandez
NPI 1265054464 · Adult Health Nurse Practitioner · Columbia, SC
Provider details
- NPI number
- 1265054464
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- H183569 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1601 Greene St
Columbia, SC 29208-4001
Approximate (ZIP-level) locationGet directions
Mailing address
1601 Greene St
Columbia, SC 29208-4001
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.