Healthcare Provider Details

I. General information

NPI: 1083213995
Provider Name (Legal Business Name): LISA ANN FINCH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2020
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4741 HIGHWAY 153 STE B
EASLEY SC
29642-9161
US

IV. Provider business mailing address

117 COMMONS WAY
GREENVILLE SC
29611-3850
US

V. Phone/Fax

Practice location:
  • Phone: 888-506-5558
  • Fax: 864-900-4676
Mailing address:
  • Phone: 864-520-2020
  • Fax: 864-640-4400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24329
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: