Provider Demographics
NPI:1295768083
Name:FINGERLIN, GINA THOMPSON (APRN)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:THOMPSON
Last Name:FINGERLIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 BATESBURG HWY
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:SC
Mailing Address - Zip Code:29138-8485
Mailing Address - Country:US
Mailing Address - Phone:864-445-2976
Mailing Address - Fax:
Practice Address - Street 1:140 IVORY KEY RD
Practice Address - Street 2:SALUDA SCHOOL DISTRICT
Practice Address - City:SALUDA
Practice Address - State:SC
Practice Address - Zip Code:29138
Practice Address - Country:US
Practice Address - Phone:864-445-3011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35656163W00000X
SCAPN 995363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health