Cordell, Lisa A.

Cordell, Lisa A. is an individual health care provider with primary practice located at 12276 San Jose Blvd Suite 401, Jacksonville FL 32223-8628. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Cordell, Lisa A. can be contacted via phone (904) 268-5561.

Contact Information

Primary practice address
12276 San Jose Blvd Suite 401 Jacksonville FL 32223-8628
Phone: (904) 268-5561
Fax: (904) 292-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP 9316298 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X ARNP9316298 Florida

Profile Details

NPI number 1851600308
LBN Legal business name Cordell, Lisa A.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2010
Last updated Jan 18th, 2022 - about 3 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 1851600308 NPPES
Florida MEDICAID 012851500

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