Individual
LISA COVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2060 CHARLIE HALL BLVD STE A, CHARLESTON, SC 29414-6066
(843) 483-0193
(839) 213-4599
Mailing address
PO BOX R, POOLER, GA 31322-0939
(912) 232-9700
(912) 748-0270
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25257
SC
363LF0000X
Family Nurse Practitioner
25257
SC
Other
Enumeration date
08/25/2021
Last updated
10/24/2024
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