Lisa D Gantt is a Greenville, South Carolina based nurse practitioner. Active license number of Lisa D Gantt is A764 in South Carolina. Her current practice location is 200 Patewood Dr Ste B200, Greenville. Patients can reach her at 864-232-7338 or can fax her at 864-239-6645. Lisa D Gantt is ANP and her NPI number (Unique professional ID assigned by NPPES) is 1487636643. Lisa D Gantt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Lisa D Gantt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Lisa D Gantt
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
ANP
Practice Address:
200 Patewood Dr Ste B200, Greenville, South Carolina, 29615-6321
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1487636643
NPI Enumeration Date:
15 Nov, 2005
NPI Last Update On:
31 Jan, 2014
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa D Gantt are as mentioned below.
License Number
Specialization
State
Status
A764
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa D Gantt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PA1845
Medicaid
South Carolina
1874
Other
South Carolina
MEDICARE PTAN
P01251001
Other
South Carolina
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Lisa D Gantt Po Box 8676, Greenville, South Carolina
Zip:
29604-8676
Phone Number:
864-232-7338
Fax Number:
864-239-6645
Patients can reach Lisa D Gantt at 200 Patewood Dr Ste B200, Greenville, South Carolina or can call to book an appointment on 864-232-7338.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.