Individual ProviderAlissa Lethcoe JulianRegistered NurseNursing Service ProvidersPractice Address5109b W Enterprise St, North Charleston, SC 29405-4066(843) 746-6364PECOS EnrollmentBased on the most recent information from CMS, provider Alissa Lethcoe Julian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1801400064Provider TypeIndividualFull NameJulian, Alissa LethcoeCredentialRNGenderFemaleSole ProprietorYesEnumeration Date9/4/2020Last Updated9/4/2020Contact InformationPractice LocationPractice Address5109b W Enterprise St, North Charleston, SC 29405-4066Phone(843) 746-6364Fax(843) 529-4991Mailing LocationMailing Address5109b W Enterprise St, North Charleston, SC 29405-4066Phone(843) 746-6364Fax(843) 529-4991Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense251221South Carolina