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Mrs. Lillian Mishelle Nicks, FNP
Family Nurse Practitioner in Greenville, South Carolina
NPI 1558641670

Lillian Mishelle Nicks is a Family Nurse Practitioner based in Atlanta, SC and is specialized in Family. Lillian Mishelle Nicks practices in Greenville, SC and has the professional credentials of FNP. The NPI Number for Lillian Mishelle Nicks is 1558641670 and holds a License No. 17527 (South Carolina).

The current practice location address for Lillian Mishelle Nicks is 104 Innovation Dr, Greenville, SC and can be reached out via phone at 864-603-6300 and via fax at 864-603-6160.

Location: 104 Innovation Dr, Greenville, SC, 30374-3294
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Provider Profile Details
NPI Number
1558641670
Provider Name
Lillian Mishelle Nicks
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
104 Innovation Dr, Greenville, SC, 30374-3294
Phone Number
864-603-6300
Fax Number
864-603-6160
Provider Enumeration Date
08/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2272 05 SC
institution
Provider Business Practice Location Address Details
Address
104 Innovation Dr
City
State
Zip
29607-5253
Phone Number
864-603-6300
Fax Number
864-603-6160
person
Provider Business Mailing Address Details
Address
104 Innovation Dr
City
State
Zip
29607-5253
Phone Number
864-603-6300
Fax Number
864-603-6160
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
17527 (South Carolina)
Definition
Definition to come...
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