Healthcare Provider Details

I. General information

NPI: 1770881195
Provider Name (Legal Business Name): BRANDI MOSLEY GRIFFIN ACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 HERLONG AVE S
ROCK HILL SC
29732-1158
US

IV. Provider business mailing address

500 LAKESHORE PKWY
ROCK HILL SC
29730-4273
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-1234
  • Fax:
Mailing address:
  • Phone: 803-818-6955
  • Fax: 803-818-6993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4473
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: