Lewis, Jill Carter

Lewis, Jill Carter is an individual health care provider with primary practice located at 4700 Forest Dr , Columbia SC 29206-3119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Jill Carter can be contacted via phone (803) 256-1511.

Contact Information

Primary practice address
4700 Forest Dr Columbia SC 29206-3119
Fax: (803) 256-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2958 South Carolina

Profile Details

NPI number 1750482824
LBN Legal business name Lewis, Jill Carter
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750482824 NPPES
South Carolina MEDICAID NP1811

Popular Providers