{"npi":"1235637182","type":"NPI-1","status":"active","name":{"display":"Lisa Wallace FNP","other":[],"first":"LISA","last":"WALLACE","middle":"M.","credential":"FNP"},"specialty":{"primary_taxonomy":"363LF0000X","primary_taxonomy_description":"Family Nurse Practitioner","slug":"family-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":true,"state":"SC","license":"21595"}]},"addresses":[{"purpose":"LOCATION","street_1":"800 E CHEVES ST STE 200","city":"FLORENCE","state":"SC","postal_code":"295062651","country_code":"US","phone":"8436621502","fax":"8436783611"},{"purpose":"MAILING","street_1":"PO BOX 3239","city":"FLORENCE","state":"SC","postal_code":"295023239","country_code":"US","phone":"8437777098","fax":"8437777102"}],"license":{"state":"SC","number":"21595"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180501000702","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"SC","pac_id":"6709140619"}]},"enumeration_date":"2018-01-25","last_updated":"2021-02-24","_meta":{"source":"NPPES","snapshot_date":"2021-02-24","doc_url":"https://findmynpi.com/api"}}