Healthcare Provider Details

I. General information

NPI: 1679497887
Provider Name (Legal Business Name): ELIZABETH FERRIS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 RINEHART WAY
AIKEN SC
29803-1703
US

IV. Provider business mailing address

PO BOX 2510
EVANS GA
30809-2510
US

V. Phone/Fax

Practice location:
  • Phone: 803-335-2200
  • Fax:
Mailing address:
  • Phone: 706-922-8274
  • Fax: 706-922-6695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number32528
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: