Lisa Wallace, CNP
NPI #1013349000 in Greenville, South Carolina
Provider Information
- NPI Number
- 1013349000
- Entity Type
- Individual
- Name
- Lisa Wallace, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- CNP
- Enumeration Date
- Aug 1, 2013
- Last Updated
- Sep 13, 2024
Practice Location
- Address
- 200 PATEWOOD DR STE B300
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29615-6338
- Phone
- (864) 454-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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