NPI 1265044267 · live from the CMS NPI Registry
Ellen Lee Caughman, DNP, APRN, MSN, FNP
Nurse Practitioner, Family in Myrtle Beach, SC. National Provider Identifier 1265044267, active.
NPI record
| NPI | 1265044267 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 3864 Renee Dr, Myrtle Beach, SC 29579 |
| Practice phone | 843-353-2111 |
| Mailing address | 5807 Friendship Ln, Myrtle Beach, SC 29588 |
| Enumerated | August 20, 2020 |
| Last updated | June 17, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 24192 (SC) |
| Nurse Practitioner, Primary Care | 363LP2300X | 24192 (SC) |
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 1265044267 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.