Individual provider · Type 1 NPI
Genna Lauren Long, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tega Cay, SC
NPI number
1962398800
Active
Practice location
1180 Stonecrest Blvd Ste 101
Tega Cay, SC 29708-6638
Fax (800) 598-6601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 30508 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other psychiatric/mental health nurse practitioner providers in Tega Cay
About NPI 1962398800
Genna Lauren Long, PMHNP-BC's National Provider Identifier is 1962398800, issued on Jun 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tega Cay, SC. The record was last updated on Sep 26, 2025.