Cook, Lisa Renee
Cook, Lisa Renee is an individual health care provider with primary practice located at 2202 N John B Dennis Hwy Ste 204 , Kingsport TN 37660-5904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cook, Lisa Renee can be contacted via phone (423) 224-3300.Contact Information
Primary practice address
2202 N John B Dennis Hwy Ste 204
Kingsport TN 37660-5904
Phone: (423) 224-3300
Fax: (423) 378-5324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7598 | Tennessee |
Profile Details
| NPI number | 1538163076 |
|---|---|
| LBN Legal business name | Cook, Lisa Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Nov 1st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538163076 | NPPES |
| Tennessee | Other | 4081495 | BCBST |
| Tennessee | MEDICAID | 3928741 | BCBST |
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