Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provision Healthcare, LLC

Organization Family Nurse Practitioner · NPI 1669968152

Provision Healthcare, LLC is a Family Nurse Practitioner in Columbia, South Carolina. Works from 3 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1320 Main St Ste 300
Columbia, SC 29201-3266
Phone: (803) 373-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10120 Two Notch Rd # 133, Columbia, SC 29223-4395 — (803) 373-0063
  • 4611 Hard Scrabble Rd Ste 178, Columbia, SC 29229-8584 — (803) 373-0063

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence BL015940-07-2018 (SC)

Record details

NPI number1669968152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lashonda Tyler — Owner · (803) 302-8205
NPI enumeratedJuly 8, 2018
Last updated in NPPESJuly 8, 2018
Mailing address4611 Hard Scrabble Rd Ste 178, Columbia, SC 29229-8584

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