IndividualActive
Jonathan Anderson
NPI 1265223408 · Critical Care Medicine Registered Nurse · Charleston, SC
Provider details
- NPI number
- 1265223408
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 247739 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Approximate (ZIP-level) locationGet directions
Mailing address
2313 High Tide Dr
Charleston, SC 29414-7064
Additional practice locations (1)
- 2313 High Tide DrCharleston, SC 29414-7064Phone: (864) 508-0366
Registry dates
- Enumerated
- 2025-05-15
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.