Individual provider · Type 1 NPI

Lisa Marie Burgess, FNP-C

Family Nurse Practitioner · Charleston, SC

NPI number 1073132502 Active

Practice location

125 Doughty St Ste 280
Charleston, SC 29403-5727

Fax (843) 720-8370

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X23847 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1073132502

Lisa Marie Burgess, FNP-C's National Provider Identifier is 1073132502, issued on Apr 14, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Jul 1, 2026.