Blevens, Lisa Christine

Blevens, Lisa Christine is an individual health care provider with primary practice located at 1373 E State Road 62 , Madison IN 47250-7328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Blevens, Lisa Christine can be contacted via phone (812) 801-0800.

Contact Information

Primary practice address
1373 E State Road 62 Madison IN 47250-7328
Phone: (812) 801-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3011473 Kentucky

Profile Details

NPI number 1538628714
LBN Legal business name Blevens, Lisa Christine
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated May 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538628714 NPPES
Indiana MEDICAID 300025685
Indiana MEDICAID 7100597820

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