Individual provider · Type 1 NPI

Lisa Jett Mathis, FNP

Family Nurse Practitioner · Spartanburg, SC

NPI number 1275905465 Active

Practice location

3021 Reidville Rd
Spartanburg, SC 29301-5643

Fax (864) 576-6584

Mailing address

3021 Reidville Road
Spartanburg, SC 29301

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X19722 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1275905465

Lisa Jett Mathis, FNP's National Provider Identifier is 1275905465, issued on Oct 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Spartanburg, SC. The record was last updated on Oct 27, 2015.