MEDICARE: PURPLE LILY CARE SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	363LA2200X	Adult Health Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1366103749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURPLE LILY CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	336 GEORGIA AVE STE 106
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3887
Country	:	US
Telephone Number	:	803-508-4729
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 GEORGIA AVE STE 106-219
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3849
Country	:	US
Telephone Number	:	803-508-4729
Fax Number	:

Authorized Official
Title or Position	:	NP
Name	:	TIFFANY NICOLE SPENCER
Credential	:
Telephone Number	:	803-508-4729

Provider Enumeration Date	:	01/06/2022
Last Update Date	:	01/19/2026

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Directions to “PURPLE LILY CARE SOLUTIONS ” Practice Location

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