Lisa Fanning Etheridge is a Orangeburg, South Carolina based nurse practitioner with 9 years of experience in Family. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Fanning Etheridge is 20081 for Family in South Carolina. Her current practice location is 1175 Cook Rd Ste 320, Orangeburg. Patients can reach her at 803-395-3960. Lisa Fanning Etheridge is FNP/APRN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1245784669. Lisa Fanning Etheridge delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Lisa Fanning Etheridge 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 Fanning Etheridge
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Credentials:
FNP/APRN
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
1175 Cook Rd Ste 320, Orangeburg, South Carolina, 29118-8247
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.
PAC ID:
1759656242
Enrollment ID:
I20171010000678
NPI Number:
1245784669
NPI Enumeration Date:
15 Aug, 2016
NPI Last Update On:
21 Jul, 2022
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 Fanning Etheridge are as mentioned below.
License Number
Specialization
State
Status
20081
Family
South Carolina
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(420068)
Orangeburg, SC
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Lisa Fanning Etheridge is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Edisto Regional Health Services Inc (4981693447)
19
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Fanning Etheridge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7389
Other
MEDICARE GROUP PTAN
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 Fanning Etheridge 914 Reynolds Rd, Barnwell, South Carolina
Zip:
29812
Phone Number:
803-259-5311
Patients can reach Lisa Fanning Etheridge at 1175 Cook Rd Ste 320, Orangeburg, South Carolina or can call to book an appointment on 803-395-3960.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.