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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLI WASHINGTON FISHBURNE FNP
NPI 1205679917
Nurse Practitioner - Family in Walterboro, SC

Active since June 18, 2024
447 SPRUCE ST, WALTERBORO, SC 29488(843) 549-6331 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jun 18, 2024 (2 updates tracked since 2024).

About Kelli Washington Fishburne Fnp NPPES

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

KELLI WASHINGTON FISHBURNE FNP (NPI 1205679917) is an individual family provider in Walterboro, South Carolina, licensed in South Carolina (F06240189) and active in the NPI registry since June 2024. She maintains a secondary practice location in Summerville.

NPPES Registry Identity

NPI1205679917
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI WASHINGTON FISHBURNECredential: FNP
Location Address447 SPRUCE STWalterboro, SC 29488-2766
Mailing AddressPo Box 530062Atlanta, GA 30353-0062 · (763) 348-2075
Phone(843) 549-6331
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1205679917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · F06240189
447 SPRUCE ST, Walterboro, SC 29488
Open in Google Maps ↗

Secondary Practice Location 1

Location 1809 N Cedar StSummerville, SC 29483-6605 · Phone (763) 348-2075

Other Providers at the Same Location NPPES 7

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

DR. KELLY ANN FLYNN FNP
Nurse Practitioner (Family)
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331
WALTERBORO ADULT & PEDIATRIC MEDICINE, LLC
Clinic/Center (Rural Health)
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331
MR. MATTHEW LAWRENCE GILBERT P.A.
Physician Assistant (Medical)
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331
WALTERBORO ADULT AND PEDIATRIC MEDICINE,LLC
Clinic/Center (Rural Health)
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331
ERIN WHITTINGTON APRN
Nurse Practitioner (Family)
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331
MRS. BARBARA JEAN STEADMAN NP-C
Nurse Practitioner (Family)
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331
JOHN GLENN CREEL M.D.
Family Medicine
447 SPRUCE ST
WALTERBORO, SC 29488
Colleton County (843) 549-6331

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 Kelli Fishburne's NPI number?

The NPI number for Kelli Fishburne is 1205679917. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Kelli Fishburne located?

Kelli Fishburne practices at 447 Spruce St, Walterboro, SC 29488. The listed phone number is (843) 549-6331.

What is Kelli Fishburne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelli Fishburne was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.