Healthcare Provider Details

I. General information

NPI: 1295768083
Provider Name (Legal Business Name): GINA THOMPSON FINGERLIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 IVORY KEY RD SALUDA SCHOOL DISTRICT
SALUDA SC
29138
US

IV. Provider business mailing address

1179 BATESBURG HWY
SALUDA SC
29138-8485
US

V. Phone/Fax

Practice location:
  • Phone: 864-445-3011
  • Fax:
Mailing address:
  • Phone: 864-445-2976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number35656
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPN 995
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: