person
Lisa Wallace, CNP
Acute Care Nurse Practitioner in Greenville, South Carolina
NPI 1013349000

Lisa Wallace is an Acute Care Nurse Practitioner based in Greenville, SC and is specialized in Acute Care. Lisa Wallace practices in Greenville, SC and has the professional credentials of CNP. The NPI Number for Lisa Wallace is 1013349000 and holds a License No. NP-14866 (South Carolina).

The current practice location address for Lisa Wallace is 200 Patewood Dr Ste B300, Greenville, SC and can be reached out via phone at 864-454-4200 and via fax at 864-454-4205.

Location: 200 Patewood Dr Ste B300, Greenville, SC, 29601-2842
person
Provider Profile Details
NPI Number
1013349000
Provider Name
Lisa Wallace
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
200 Patewood Dr Ste B300, Greenville, SC, 29601-2842
Phone Number
864-454-4200
Fax Number
864-454-4205
Provider Enumeration Date
08/01/2013
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr Ste B300
City
State
Zip
29615-6338
Phone Number
864-454-4200
Fax Number
864-454-4205
person
Provider Business Mailing Address Details
Address
200 Patewood Dr Ste B300
City
State
Zip
29615-6338
Phone Number
864-454-4200
Fax Number
864-454-4205
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
NP-14866 (Ohio)
Definition
Definition to come...
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