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MRS. ELIZABETH G PETTY
NPI 1013341627
Licensed Practical Nurse in Roebuck, SC

Active since August 30, 2013
2401 E BLACKSTOCK RD, ROEBUCK, SC 29376(864) 576-6151(864) 595-2429 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Elizabeth G Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ELIZABETH G PETTY (NPI 1013341627) is an individual licensed practical nurse in Roebuck, South Carolina, licensed in South Carolina (P13063) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1013341627
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. ELIZABETH G PETTY
Location Address2401 E BLACKSTOCK RDRoebuck, SC 29376-3206
Mailing Address2401 E Blackstock RdRoebuck, SC 29376-3206 · (864) 576-6151 · Fax (864) 595-2429
Phone(864) 576-6151
Fax(864) 595-2429
Sole ProprietorNo
Enumeration DateAugust 30, 2013
✔ NPI 1013341627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in SC · P13063
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2401 E BLACKSTOCK RD, Roebuck, SC 29376
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRANDY DOVER LANEY COTA/L
Occupational Therapy Assistant
2401 E BLACKSTOCK RD
ROEBUCK, SC 29376
Spartanburg County (864) 576-6151
SARAH CHRISTIAN HARRISON
Student in an Organized Health Care Education/Training Program
2401 E BLACKSTOCK RD
ROEBUCK, SC 29376
Spartanburg County (864) 576-6151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Petty's NPI number?

The NPI number for Elizabeth Petty is 1013341627. It was assigned to this individual provider in the NPPES registry on August 30, 2013.

Where is Elizabeth Petty located?

Elizabeth Petty practices at 2401 E Blackstock Rd, Roebuck, SC 29376. The listed phone number is (864) 576-6151.

What is Elizabeth Petty's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Petty was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.