Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA WALLACE, CNP
ActiveLISA WALLACE, CNP is a Acute Care Nurse Practitioner healthcare provider located in GREENVILLE, South Carolina. NPI 1013349000 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · GREENVILLE, SC
Registration Details
- NPI Number
- 1013349000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2013 (12.997561894624 yrs)
- Last Updated
- Sep 13, 2024
- Licenses
-
NP-14866 (OH)28748 (SC)
Practice Information
- Address
-
200 PATEWOOD DR STE B300GREENVILLE, SC, 296156338Browse SC providers · Browse ZIP 29615
- Phone
- 8644544200
- Fax
- 8644544205
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
- Additional Specialty
- Acute Care Nurse Practitioner
Other Acute Care Nurse Practitioner Providers in GREENVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| SUSAN L FUNK | NP | 1033114087 |
| LUANN HARRIS | N.P. | 1235134883 |
| TAYLOR S NEWTON | NP | 1205812211 |
| MICHAEL GAINES PHILLIPS | MSN, ACNP | 1245280056 |
| TONYA SELLERS | ACNP | 1265451926 |
| MRS. DONNA BOND BECKER | MSN, APRN-BC | 1992801013 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.