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

Lisa Fanning Etheridge, FNP/APRN

Individual provider Family Nurse Practitioner · NPI 1245784669

Lisa Fanning Etheridge, FNP/APRN is a Nurse Practitioner in Orangeburg, South Carolina. Qualified in 2016, 10 years ago. Practices with MUSC Community Physicians, a 1,339-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016
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Practice location Address checks out

1175 Cook Rd Ste 320
Orangeburg, SC 29118-8247
Phone: (803) 395-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 914 Reynolds Rd, Barnwell, SC 29812-6358 — (803) 259-5311

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20081 (SC)

Record details

NPI number1245784669
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP/APRN
Sole proprietorNo
NPI enumeratedAugust 15, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Musc Community Physicians — 1339 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Orangeburg