Lisa Marie Creel, FNP-BC
Nurse Practitioner, Family in Jenkinsville, SC. Individual provider (NPI-1).
NPI number1164058681
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1164058681
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lisa Marie Creel
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2020
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 23780 | SC | Yes |
Practice location
9017 State Highway 215 SJenkinsville, SC 29065-9428
Phone 803-296-2068
Mailing address
214 Curvewood RdColumbia, SC 29229-7125
Phone 803-360-8270
Other practice locations
1298 Woodruff Rd
Greenville, SC 29607-5754
Greenville, SC 29607-5754
Phone 864-236-4700
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