Healthcare Provider Details

I. General information

NPI: 1992355770
Provider Name (Legal Business Name): LESLIE ANN DRIGGERS APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 EDMUND HWY
WEST COLUMBIA SC
29170-1931
US

IV. Provider business mailing address

2401 EDMUND HWY
WEST COLUMBIA SC
29170-1931
US

V. Phone/Fax

Practice location:
  • Phone: 803-822-9160
  • Fax:
Mailing address:
  • Phone: 803-822-9160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number24887
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24887
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: