SHAMBREKA EADDY
NPI 1205728573
Licensed Practical Nurse in Florence, SC

Active since July 19, 2025
661 S ALINE ST, FLORENCE, SC 29506(843) 758-2454 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Licensed Practical Nurse

About SHAMBREKA EADDY

This page provides the complete NPI Profile along with additional information for Shambreka Eaddy, a provider established in Florence, South Carolina operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1205728573 assigned on July 2025. The practitioner's primary taxonomy code is 164W00000X with license number 51319 (SC). The provider is registered as an individual and their NPI record was last updated one year ago.

NPI
1205728573 Verify this NPI
Provider Name
SHAMBREKA EADDY
Gender
Entity Type
Individual
Location Address
661 S ALINE ST FLORENCE, SC 29506
Location Phone
(843) 758-2454
Mailing Address
707 NORFOLK ST FLORENCE, SC 29506
Is Sole Proprietor?
No
Enumeration Date
07-19-2025
Last Update Date
07-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
51319
License State
SC
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Health Service)
661 S ALINE ST
FLORENCE, SC 29506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205728573, enumerated as an "individual" on July 19, 2025.

The provider is located at 661 S ALINE ST FLORENCE, SC 29506 and the phone number is (843) 758-2454.

Licensed Practical Nurse with taxonomy code 164W00000X.