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

Vivian Breslin, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356434955

Vivian Breslin, NURSEPRACTITIONER is a Nurse Practitioner in Clinton, South Carolina. Qualified in 1999, 27 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in New York and South Carolina.

Years since qualifying
27
Licensed in
NY, SC
In the registry since
2006
Specialties on file
3

Practice location Address checks out

939 Springdale Dr
Clinton, SC 29325-7266
Phone: (910) 742-9243
Fax: (888) 746-1787
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 22932 (SC)
Nurse Practitioner Taxonomy 363L00000X · Licence 22932 (SC)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence F4005051 (NY)

Record details

NPI number1356434955
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clinton