Provider Demographics
NPI:1992434419
Name:SCIPIO, DAWNNA MONIQUE (FNP)
Entity type:Individual
Prefix:
First Name:DAWNNA
Middle Name:MONIQUE
Last Name:SCIPIO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 BARN OWL RD
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541-4720
Mailing Address - Country:US
Mailing Address - Phone:843-610-0135
Mailing Address - Fax:
Practice Address - Street 1:1237 BARN OWL RD
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:SC
Practice Address - Zip Code:29541-4720
Practice Address - Country:US
Practice Address - Phone:843-610-0135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily