Individual provider · Type 1 NPI

Carly Lane Sealy

Nurse Practitioner · Greenville, SC

NPI number 1831706589 Active

Practice location

126 Milestone Way
Greenville, SC 29615-5065

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Nurse Practitioner Primary	363L00000X	24793 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1831706589

Carly Lane Sealy's National Provider Identifier is 1831706589, issued on Sep 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greenville, SC. The record was last updated on Jul 15, 2026.