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LISA WAGNER LPN
NPI 1124360078
Licensed Practical Nurse in Greenville, SC

Active since March 19, 2013
100 BLASSINGAME RD, GREENVILLE, SC 29605(864) 355-3100 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Wagner Lpn NPPES

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

LISA WAGNER LPN (NPI 1124360078) is an individual licensed practical nurse in Greenville, South Carolina, licensed in South Carolina (PR28793) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1124360078
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameLISA WAGNERCredential: LPN
Location Address100 BLASSINGAME RDGreenville, SC 29605-3304
Mailing Address100 Blassingame RdGreenville, SC 29605-3304 · (864) 355-3100
Phone(864) 355-3100
Sole ProprietorNo
Enumeration DateMarch 19, 2013
✔ NPI 1124360078 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 · PR28793
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.
100 BLASSINGAME RD, Greenville, SC 29605
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Other Providers at the Same Location NPPES 20

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

MRS. DEBORAH RUTH EDWARDS RN
Registered Nurse (School)
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100
MRS. RUTH ANN TAYLOR LPN
Licensed Practical Nurse
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100
MS. TIFFANY MICHELLE JACKSON LPN
Licensed Practical Nurse
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100
CHERYL GILSON
Licensed Practical Nurse
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100
CELESTE ARNONE LPN
Licensed Practical Nurse
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100
MRS. DEBORAH HELM RN
Registered Nurse
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100
MS. JANET ANN SIJON RN
Registered Nurse (School)
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-7457
MRS. MISTI LORRAIN KELLY RN
Registered Nurse
100 BLASSINGAME RD
GREENVILLE, SC 29605
Greenville County (864) 355-3100

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 Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1124360078. It was assigned to this individual provider in the NPPES registry on March 19, 2013.

Where is Lisa Wagner located?

Lisa Wagner practices at 100 Blassingame Rd, Greenville, SC 29605. The listed phone number is (864) 355-3100.

What is Lisa Wagner'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 Lisa Wagner was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.