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Mr. Liston Alexander Weatherly JR., APRN
Nurse Practitioner in Hartsville, South Carolina
NPI 1912413832

Liston Alexander Weatherly JR. is a Nurse Practitioner based in Hartsville, SC. Liston Alexander Weatherly JR. practices in Hartsville, SC and has the professional credentials of APRN. The NPI Number for Liston Alexander Weatherly JR. is 1912413832 and holds a License No. 21363 (South Carolina).

The current practice location address for Liston Alexander Weatherly JR. is 1268 S 4Th St, Hartsville, SC and can be reached out via phone at 803-484-5317.

Location: 1268 S 4Th St, Hartsville, SC, 29551-1090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912413832
Provider Name
Liston Alexander Weatherly JR.
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1268 S 4Th St, Hartsville, SC, 29551-1090
Phone Number
803-484-5317
Fax Number
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1268 S 4Th St
City
Hartsville
State
South Carolina
Zip
29550-0703
Phone Number
803-484-5317
Fax Number
person
Provider Business Mailing Address Details
Address
1268 S 4Th St
City
Hartsville
State
South Carolina
Zip
29550-0703
Phone Number
803-484-5317
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
21363 (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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