Individual provider · Type 1 NPI

Mary Alice Lollis, APRN

Nurse Practitioner · Anderson, SC

NPI number 1922360593 Active

Practice location

100 Gavotte Ln
Anderson, SC 29621-8205

Fax (864) 261-8580

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17911 (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 1922360593

Mary Alice Lollis, APRN's National Provider Identifier is 1922360593, issued on Jun 11, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Anderson, SC. The record was last updated on Apr 27, 2026.