Provider Demographics
NPI:1457164741
Name:JAMES-PITT, BRENDA JOYCE (MPH, BSN, RN-BC)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:JOYCE
Last Name:JAMES-PITT
Suffix:
Gender:F
Credentials:MPH, BSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BUCK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8362
Mailing Address - Country:US
Mailing Address - Phone:803-429-1289
Mailing Address - Fax:803-751-2928
Practice Address - Street 1:4500 8TH DIVISION RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29207-5700
Practice Address - Country:US
Practice Address - Phone:803-751-0657
Practice Address - Fax:803-751-2928
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC93925163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management