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

Erryn C Provencher, PA-C

Individual provider Physician Assistant · NPI 1568828432

Erryn C Provencher, PA-C is a Physician Assistant in Sumter, South Carolina. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

674 W Liberty St
Sumter, SC 29150-4882
Phone: (803) 773-5227
Fax: (803) 757-4010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112417 (FL)

Record details

NPI number1568828432
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 8, 2016
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

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