Individual
KAREN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
20886
SC
363LF0000X
Family Nurse Practitioner
Primary
20886
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4576
—
SC
Enumeration date
04/10/2017
Last updated
11/22/2024
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