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

Dr. Lavon Fenderson, DNP, FNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1285040329

Dr. Lavon Fenderson, DNP, FNP-BC is a Nurse Practitioner in West Columbia, South Carolina. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2014
Specialties on file
3
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2858 Sunset Blvd
West Columbia, SC 29169-3420
Phone: (803) 699-9073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 18897 (SC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 18887 (SC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 18887 (SC)

Record details

NPI number1285040329
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-BC
Sole proprietorYes
NPI enumeratedJuly 9, 2014
Last updated in NPPESJuly 9, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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