Healthcare Provider Details

I. General information

NPI: 1326983081
Provider Name (Legal Business Name): TENEE' LASHEE' MARTIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

IV. Provider business mailing address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

V. Phone/Fax

Practice location:
  • Phone: 864-808-1941
  • Fax:
Mailing address:
  • Phone: 864-409-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026016805
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: