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

Mrs. Lillian Mishelle Nicks, FNP

Individual provider Family Nurse Practitioner · NPI 1558641670

Mrs. Lillian Mishelle Nicks, FNP is a Nurse Practitioner in Greenville, South Carolina. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
15
Licensed in
SC
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

104 Innovation Dr Ste 2000
Greenville, SC 29607-5253
Phone: (864) 603-6300
Fax: (864) 603-6160
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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 17527 (SC)

Record details

NPI number1558641670
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 20, 2011
Last updated in NPPESDecember 1, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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