Lollis, Tyner Leigh Ray

Lollis, Tyner Leigh Ray is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-4210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Lollis, Tyner Leigh Ray can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-4210
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 5005582 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 18835 South Carolina

Profile Details

NPI number 1063770147
LBN Legal business name Lollis, Tyner Leigh Ray
Credentials MSN, NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2012
Last updated May 22nd, 2019 - about 5 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.

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