IndividualActive
Brenda Willis, LPN
NPI 1083956304 · Licensed Practical Nurse · Greenville, SC
Provider details
- NPI number
- 1083956304
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- P8479 (SC)
Specialties & taxonomies
Nursing Service Providers
Practice location
100 Blassingame Rd
Greenville, SC 29605-3304
Phone: (864) 355-3100
Fax: (864) 355-1966
Approximate (ZIP-level) locationGet directions
Mailing address
100 Blassingame Rd
Greenville, SC 29605-3304
Registry dates
- Enumerated
- 2013-03-25
- Last updated
- 2013-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.