Individual provider · Type 1 NPI

Lisa Gordon, FNP

Family Nurse Practitioner · Columbia, SC

NPI number 1497187744 Active

Practice location

1601 Greene St
Columbia, SC 29208-4001

Call (803) 777-7412 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X18441 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1497187744

Lisa Gordon, FNP's National Provider Identifier is 1497187744, issued on Aug 8, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Aug 12, 2026.