Individual
DR. LISA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
333 REVOLUTIONARY TRL, FAIRFAX, SC 29827-7109
(803) 632-2533
Mailing address
1008 LAKE MURRAY BLVD, IRMO, SC 29063-2821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26318
SC
Other
Enumeration date
09/12/2022
Last updated
02/14/2026
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