person
Lisa D Gantt, ANP
Nurse Practitioner in Greenville, South Carolina
NPI 1487636643

Lisa D Gantt is a Nurse Practitioner based in Greenville, SC. Lisa D Gantt practices in Greenville, SC and has the professional credentials of ANP. The NPI Number for Lisa D Gantt is 1487636643 and holds a License No. A764 (South Carolina).

The current practice location address for Lisa D Gantt is 200 Patewood Dr Ste B200, Greenville, SC and can be reached out via phone at 864-232-7338 and via fax at 864-239-6645. You can also correspond with Lisa D Gantt through the mailing address at PO BOX 8676, GREENVILLE, SC - 29604-8676 (mailing address contact number: 864-232-7338).

Location: 200 Patewood Dr Ste B200, Greenville, SC, 29604-8676
person
Provider Profile Details
NPI Number
1487636643
Provider Name
Lisa D Gantt
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
200 Patewood Dr Ste B200, Greenville, SC, 29604-8676
Phone Number
864-232-7338
Fax Number
864-239-6645
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA1845 05 SC
1874 01 SC MEDICARE PTAN
P01251001 01 SC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr Ste B200
City
State
Zip
29615-6321
Phone Number
864-232-7338
Fax Number
864-239-6645
person
Provider Business Mailing Address Details
Address
Po Box 8676
City
State
Zip
29604-8676
Phone Number
864-232-7338
Fax Number
864-239-6645
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
A764 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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